John Smith
Physical Therapist in Fitzgerald, GA. Individual provider (NPI-1).
NPI number1982152930
StatusActive
Last updated in NPPESSep 20, 2016
Details
- NPI
- 1982152930
- Entity type
- Individual (NPI-1)
- Name
- John Smith
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2016
- Last updated
- Sep 20, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- 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 | 16645 | NC | Yes |
| 225100000X | Physical Therapist | 2305210614 | VA |
Practice location
412 W Central AveFitzgerald, GA 31750-2442
Phone 229-425-4185
Mailing address
412 W Central AveFitzgerald, GA 31750-2442
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapist providers in Fitzgerald, GA
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- Judy Harper Hobby, PTNPI 1609948744
- James Benjamin Shiflett, DPTNPI 1790329597
- Southern Physical & Occupational Therapy Services, INCNPI 1295847309
- Rebecca TankNPI 1275825028
- Steven Lee Taylor, PTNPI 1467426908
All 9 Physical Therapist providers in Fitzgerald · All 212 providers in Fitzgerald
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