Provider Demographics
NPI:1326305384
Name:FLEXX SPORTS & REHAB PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:FLEXX SPORTS & REHAB PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:PRATHER
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:706-886-3486
Mailing Address - Street 1:69 DOYLE ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TOCCOA
Mailing Address - State:GA
Mailing Address - Zip Code:30577-3676
Mailing Address - Country:US
Mailing Address - Phone:706-886-3486
Mailing Address - Fax:706-886-0379
Practice Address - Street 1:69 DOYLE ST
Practice Address - Street 2:SUITE 102
Practice Address - City:TOCCOA
Practice Address - State:GA
Practice Address - Zip Code:30577-3676
Practice Address - Country:US
Practice Address - Phone:706-886-3486
Practice Address - Fax:706-886-0379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-16
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT008337225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty