Southern Physical & Occupational Therapy Services, INC
Physical Therapist in Fitzgerald, GA. Organization (NPI-2).
NPI number1295847309
StatusActive
Last updated in NPPESOct 26, 2011
Details
- NPI
- 1295847309
- Entity type
- Organization (NPI-2)
- Legal business name
- Southern Physical & Occupational Therapy Services, INC
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Oct 26, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT004081 | GA | Yes |
| 224Z00000X | Occupational Therapy Assistant | OT000451 | GA |
Practice location
305 Benjamin H Hill Dr WFitzgerald, GA 31750-8720
Phone 229-423-8403 · Fax 229-423-8340
Mailing address
305 Benjamin H Hill Dr WFitzgerald, GA 31750-8720
Phone 229-423-8403 · Fax 229-423-8340
Authorized official
Steven L Taylor
President Owner
2294238403
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All 9 Physical Therapist providers in Fitzgerald · All 212 providers in Fitzgerald
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