Provider Demographics
NPI:1851591267
Name:JOY, THOMAS JAMES (PT)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:JAMES
Last Name:JOY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3871 SENTRY RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-3957
Mailing Address - Country:US
Mailing Address - Phone:678-549-5084
Mailing Address - Fax:
Practice Address - Street 1:3871 SENTRY RIDGE CT
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-3957
Practice Address - Country:US
Practice Address - Phone:678-549-5084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT006445225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist