Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROVISION PHYSICAL THERAPY,LLC
Active OrganizationPROVISION PHYSICAL THERAPY,LLC is a Sports Medicine (PM&R) organization located in FAYETTEVILLE, Georgia. NPI 1144741976 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1144741976
- Provider Type
- Organization
- NPI Issued
- Jul 1, 2017 (9.1602950887652 yrs)
- Last Updated
- Jul 7, 2017
- License
-
PT009550 (GA)
Practice Information
- Address
-
105 COMMERCE DR STE BFAYETTEVILLE, GA, 302147352Browse GA providers · Browse ZIP 30214
- Phone
- 4046921654
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.