PROVISION PHYSICAL THERAPY,LLC (NPI# 1144741976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144741976 |
Entity Type | Organization |
Organization Name | PROVISION PHYSICAL THERAPY,LLC |
Practice Address |
105 Commerce Dr Ste B Fayetteville GA 30214-7352 |
Practice Telephone | 4046921654 |
Mailing Telephone | 4046921654 |
Mailing Fax Number | 4043934044 |
Enumeration Date | 2017-07-01 |
Last Update Date | 2017-07-07 |
Authorized Official Name | VENILLA BARNES (PHYSICAL THERAPIST) |
Authorized Official Telephone | 4046921654 |
Authorized Official Credential | PT,DPT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
PT009550 | GA | Allopathic & Osteopathic Physicians |
Street Address |
105 COMMERCE DR STE B |
City | FAYETTEVILLE |
State | GA |
Zip Code | 30214-7352 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457533655 | Venilla R Barnes | Physical Therapist | 105 Commerce Dr Ste B, Fayetteville, GA 30214-7352 | 2007-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
Find all providers in zip 30214 |
Taxonomy Code | 2081S0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Sports Medicine |
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255945473 | Brooke Hollingworth | Physical Medicine & Rehabilitation | 3900 N Parkview Dr Ste 202, Fayetteville, AR 72703-6398 | 2020-09-04 |
1770180903 | Kenneth Lassiter | Physical Medicine & Rehabilitation | 1200 Murchison Rd, Fayetteville, NC 28301-4252 | 2020-10-01 |
1841784170 | Jordan Drew Bettleyon | Physical Medicine & Rehabilitation | 5400 Ramsey St, Fayetteville, NC 28311 | 2018-06-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447872700 | Shaq S Hill-lofton | Physical Medicine & Rehabilitation | 6073 Magnolia Rdg, Stone Mountain, GA 30087-6068 | 2020-05-10 |
1861013773 | Amy Prall | Physical Medicine & Rehabilitation | 590 Cobb Ave Nw # 0201, Kennesaw, GA 30144-5563 | 2020-05-01 |
1912536145 | Christopher R. Sellars, Do, LLC | Physical Medicine & Rehabilitation | 4989 Peachtree Pkwy Ste 120, Peachtree Corners, GA 30092-2589 | 2020-04-08 |
1578194445 | Jakayla Campbell | Physical Medicine & Rehabilitation | 3096 Spring Hill Pkwy Se Apt F, Smyrna, GA 30080-4752 | 2020-01-30 |
1568003275 | Derek Charles Gaffey | Physical Medicine & Rehabilitation | 13025 Birmingham Hwy, Milton, GA 30004-7306 | 2019-10-03 |
1649830001 | Jennifer Creek Poston | Physical Medicine & Rehabilitation | 105 East Bacon Street, Pembroke, GA 31321 | 2019-06-18 |
1184113342 | Jamie Townsend Young | Physical Medicine & Rehabilitation | 1275 Shiloh Rd Nw Ste 2031, Kennesaw, GA 30144-7199 | 2018-05-03 |
1043724040 | Chesnee Miller | Physical Medicine & Rehabilitation | 2400 Gillionville Rd, Albany, GA 31707-3023 | 2017-11-29 |
1780006031 | Brandy Dodge | Physical Medicine & Rehabilitation | 4181 Hospital Dr Ne Ste 204, Covington, GA 30014-2541 | 2014-01-06 |
1972941839 | Beyond Rehabilitation PC | Physical Medicine & Rehabilitation | 1376 Lamont Dr Sw, Mableton, GA 30126-1182 | 2013-06-12 |
Find all providers with the same taxonomy |
City | FAYETTEVILLE |
Zip Code | 30214 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.