PROVISION PHYSICAL THERAPY,LLC


Address: 105 Commerce Dr Ste B, Fayetteville, GA 30214-7352
Phone: 4046921654

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2081S0010X Physical Medicine & Rehabilitation
Specialization: Sports Medicine
PT009550 GA Allopathic & Osteopathic Physicians

Office Location

Street Address 105 COMMERCE DR STE B
City FAYETTEVILLE
State GA
Zip Code 30214-7352

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457533655 Venilla R Barnes Physical Therapist 105 Commerce Dr Ste B, Fayetteville, GA 30214-7352 2007-11-29

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2081S0010X
Grouping Allopathic & Osteopathic Physicians
Classification Physical Medicine & Rehabilitation
Specialization Sports Medicine

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City FAYETTEVILLE
Zip Code 30214

Improve Information

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Dataset Information

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.

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