PT SOLUTIONS OF ACWORTH, LLC (NPI# 1972659332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972659332 |
| Entity Type | Organization |
| Organization Name | PT SOLUTIONS OF ACWORTH, LLC |
| Other Organization Name | WOODSTOCK PHYSICAL THERAPY AND PERFORMANCE INSTITUTE, LLC |
| Practice Address |
1816 Eagle Dr Building 100, Suite C Woodstock GA 30189-8272 |
| Mailing Address |
Po Box 242278 Montgomery AL 36124-2278 |
| Practice Telephone | 7705169191 |
| Practice Fax Number | 6788027377 |
| Mailing Telephone | 3346255795 |
| Mailing Fax Number | 3343964905 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2016-02-09 |
| Authorized Official Name | MR. DALE YAKE (CEO) |
| Authorized Official Telephone | 6784033560 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Woodstock Physical Therapy and Performance Institute, LLC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609391762 | Pt Solutions of Acworth, LLC | Occupational Therapist | 1504 Highway 74 N Ste 2a, Tyrone, GA 30290-1663 | 2017-08-10 |
| 1568996270 | Pt Solutions of Acworth, LLC | Physical Therapist | 3991 Highway 78 W, Suite 200, Snellville, GA 30039-3929 | 2017-04-19 |
| 1083155790 | Pt Solutions of Acworth, LLC | Physical Therapist | 1648 Market Place Blvd, Cumming, GA 30041-7927 | 2017-03-14 |
| 1386187060 | Pt Solutions of Acworth, LLC | Physical Therapist | 209 Cooley Dr, Suite 203, Villa Rica, GA 30180-7057 | 2016-11-29 |
| 1992248678 | Pt Solutions of Acworth, LLC | Physical Therapist | 613 Church St, Decatur, GA 30030-2517 | 2016-11-29 |
| 1144772625 | Pt Solutions of Acworth, LLC | Physical Therapist | 8851 Macon Hwy, Athens, GA 30606-5264 | 2016-10-31 |
| 1083166565 | Pt Solutions of Acworth, LLC | Physical Therapist | 3575 Durden Dr Ne Ste 304-a, Brookhaven, GA 30319-2253 | 2016-10-31 |
| 1982159927 | Pt Solutions of Acworth, LLC | Occupational Therapist | 999 Brady Ave Nw Ste 11, Atlanta, GA 30318-5607 | 2016-08-19 |
| 1619421013 | Pt Solutions of Acworth, LLC | Occupational Therapist | 4558 Roswell Rd, Suite D210, Atlanta, GA 30342-3173 | 2016-08-15 |
| 1922469311 | Pt Solutions of Acworth, LLC | Physical Therapist | 1810 Jonesboro Rd, Mcdonough, GA 30253-5960 | 2016-03-11 |
| Street Address |
1816 EAGLE DR BUILDING 100, SUITE C |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30189-8272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013997139 | Ross Joseph Brakeville | Physical Therapist | 1816 Eagle Dr, Building 100, Suite C, Woodstock, GA 30189-8272 | 2006-01-17 |
| 1306203427 | Kragor Orthodontics LLC | Dentist | 1816 Eagle Dr, Suite 100-b, Woodstock, GA 30189-8272 | 2016-01-20 |
| 1336420017 | Robert Riesing | Physical Therapist | 1816 Eagle Dr, Suite C, Woodstock, GA 30189-8272 | 2011-09-08 |
| 1346540432 | Park Pediatric Dentistry of Woodstock, LLC | Dentist | 1816 Eagle Dr, Suite 200-c, Woodstock, GA 30189-8272 | 2010-10-24 |
| 1750514295 | Eagle Drive Family Medicine PC | General Practice | 1816 Eagle Dr, Suite 200-b, Woodstock, GA 30189-8272 | 2009-09-01 |
| 1710022942 | Julius Park | Dentist | 1816 Eagle Dr, 200-c, Woodstock, GA 30189-8272 | 2007-02-21 |
| 1538210695 | Scott Harden | Dentist | 1816 Eagle Dr, Bldg 200 Ste A, Woodstock, GA 30189-8272 | 2007-01-16 |
| 1548299332 | Richard Leon Manrique | Emergency Medicine | 1816 Eagle Dr, Suite 200-b, Woodstock, GA 30189-8272 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494356 | Susan Iruku | Pharmacist | 12050 Ga-92 #112, Woodstock, GA 30189 | 2020-10-15 |
| 1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
| 1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
| 1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
| 1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
| 1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
| 1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
| 1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
| 1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
| 1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
| Find all providers in zip 30189 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859301 | Amanda Alicia Archer | Physical Therapist | 619 Eagles Lndg, Woodstock, GA 30188-6025 | 2020-10-21 |
| 1972116069 | Lucas Scott Butterfield | Physical Therapist | 442 E Woodstock Rd Ste 3a, Woodstock, VT 05091-3696 | 2020-08-28 |
| 1528682457 | Jignesh Patel | Physical Therapist | 802 Song Bird Ct, Woodstock, GA 30188-3779 | 2020-06-06 |
| 1184282543 | Emily Marie Quiza | Physical Therapist | 12050 Highway 92 Ste 116, Woodstock, GA 30188-4287 | 2019-05-31 |
| 1205317153 | Katelyn Corbin | Physical Therapist | 980 Woodstock Pkwy Ste 200, Woodstock, GA 30188-4871 | 2018-08-28 |
| 1922512649 | Lindsey Faye Snopek | Physical Therapist | 502 Hearthstone Rdg, Woodstock, GA 30189-5292 | 2017-11-17 |
| 1740792472 | Catherine Williams Kramer | Physical Therapist | 280 Heritage Walk, Woodstock, GA 30188-3837 | 2017-11-03 |
| 1841731569 | Aegis Group Practice, LLC | Physical Therapist | 3385 Trickum Rd, Woodstock, GA 30188-4234 | 2017-03-14 |
| 1356884407 | Paula Adamson | Physical Therapist | 10615 Happy Trl, Woodstock, IL 60098-8784 | 2016-11-22 |
| 1952856486 | Deborah Elizabeth Styron | Physical Therapist | 148 Highlands Dr, Woodstock, GA 30188-6050 | 2016-08-25 |
| Find all providers in WOODSTOCK | ||||
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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.