Provider Demographics
NPI:1124194261
Name:PHYSICAL THERAPY PLUS, INC
Entity Type:Organization
Organization Name:PHYSICAL THERAPY PLUS, INC
Other - Org Name:PT PLUS TOO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER & PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:BRANTLEY
Authorized Official - Last Name:JONES
Authorized Official - Suffix:JR
Authorized Official - Credentials:MPT
Authorized Official - Phone:912-638-5041
Mailing Address - Street 1:32 MIDWAY SQ
Mailing Address - Street 2:
Mailing Address - City:ST SIMONS ISLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31522-6701
Mailing Address - Country:US
Mailing Address - Phone:912-638-5041
Mailing Address - Fax:912-638-5195
Practice Address - Street 1:32 MIDWAY SQ
Practice Address - Street 2:
Practice Address - City:ST SIMONS ISLAND
Practice Address - State:GA
Practice Address - Zip Code:31522-6701
Practice Address - Country:US
Practice Address - Phone:912-638-5041
Practice Address - Fax:912-638-5195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP6661Medicare ID - Type Unspecified