Provider Demographics
NPI:1740387729
Name:NHC FORT OGLETHORPE
Entity Type:Organization
Organization Name:NHC FORT OGLETHORPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST ASSISTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:SCOLET
Authorized Official - Suffix:
Authorized Official - Credentials:LPTA
Authorized Official - Phone:706-866-7700
Mailing Address - Street 1:2403 BATTLEFIELD PKWY
Mailing Address - Street 2:
Mailing Address - City:FORT OGLETHORPE
Mailing Address - State:GA
Mailing Address - Zip Code:30742-4033
Mailing Address - Country:US
Mailing Address - Phone:706-866-7700
Mailing Address - Fax:706-866-1471
Practice Address - Street 1:20 ROBERT LN
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-7200
Practice Address - Country:US
Practice Address - Phone:805-320-2264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPTA002297225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Single Specialty