Provider Demographics
NPI:1346747706
Name:VENTURE PHYSICAL THERAPY OF MARIETTA LLC
Entity Type:Organization
Organization Name:VENTURE PHYSICAL THERAPY OF MARIETTA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER & COO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ECHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-346-6035
Mailing Address - Street 1:PO BOX 1975
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30162-1975
Mailing Address - Country:US
Mailing Address - Phone:706-204-8548
Mailing Address - Fax:866-858-7371
Practice Address - Street 1:335 ROSELANE ST NW STE 201
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-7902
Practice Address - Country:US
Practice Address - Phone:770-424-6787
Practice Address - Fax:770-426-7925
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THERAPY PARTNER SOLUTIONS - OP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-11
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty