Provider Demographics
NPI:1437242245
Name:RHODES PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:RHODES PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:RHODES
Authorized Official - Suffix:JR
Authorized Official - Credentials:DPT
Authorized Official - Phone:706-745-7481
Mailing Address - Street 1:PO BOX 250
Mailing Address - Street 2:
Mailing Address - City:BLAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30514-0250
Mailing Address - Country:US
Mailing Address - Phone:706-745-7481
Mailing Address - Fax:706-745-7548
Practice Address - Street 1:226 GAINESVILLE HWY
Practice Address - Street 2:STE B
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-4576
Practice Address - Country:US
Practice Address - Phone:706-745-7481
Practice Address - Fax:706-745-7548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT003720261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA9283109OtherPHCS
GAA134524OtherMULTI PLAN NETWORK
GA52355423OtherBCBSGA
GA5466818OtherFIRST HEALTH NETWORK
GA611181900OtherDOL OWCP
GA611181900OtherDOL OWCP