Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN J. ROSS, P.T., ATC
ActiveBRIAN J. ROSS, P.T., ATC is a Physical Therapy Assistant healthcare provider located in MACON, Georgia. NPI 1467679621 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MACON, GA
Registration Details
- NPI Number
- 1467679621
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2007 (19.289082605802 yrs)
- Last Updated
- Jun 23, 2010
- Licenses
-
007019 (GA)AT000866 (GA)
Practice Information
- Address
-
4660 RIVERSIDE PARK BLVDMACON, GA, 312101395Browse GA providers · Browse ZIP 31210
- Phone
- 4784742114
- Fax
- 4784745043
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Athletic Trainer
Other Physical Therapy Assistant Providers in MACON, GA
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER LEE HAIRIE | PT, DPT | 1477529956 |
| DR. RICHARD JASON KENT | DPT | 1598792715 |
| MR. MICHAEL ANDREW POLASCIK | PT ATC | 1609899558 |
| MR. MICHAEL R WISDOM | PT | 1578579686 |
| MR. ROBERT ADAM MEDRZYCKI | PT | 1336256411 |
| MR. CHRISTOPHER DOUGLAS CANICATTI | PT | 1760551691 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.