Provider Demographics
NPI:1922218734
Name:GLOBAL ORTHOPEDIC PHYSICAL THERAPY, INC
Entity Type:Organization
Organization Name:GLOBAL ORTHOPEDIC PHYSICAL THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AL WYNNE
Authorized Official - Middle Name:
Authorized Official - Last Name:GESITE
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MS, OMT, STC
Authorized Official - Phone:404-771-0554
Mailing Address - Street 1:8020 WOODLAND LN
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-8725
Mailing Address - Country:US
Mailing Address - Phone:404-771-0554
Mailing Address - Fax:
Practice Address - Street 1:8020 WOODLAND LN
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-8725
Practice Address - Country:US
Practice Address - Phone:404-771-0554
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA5853225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty