Provider Demographics
NPI:1013997113
Name:PHYSICAL THERAPY CONSULTANTS INC
Entity Type:Organization
Organization Name:PHYSICAL THERAPY CONSULTANTS INC
Other - Org Name:CINDY RICHARDS
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:K
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, OCS, MTC, MBA
Authorized Official - Phone:770-425-4205
Mailing Address - Street 1:732 KENNESAW AVE
Mailing Address - Street 2:STE 120
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-9406
Mailing Address - Country:US
Mailing Address - Phone:770-425-4205
Mailing Address - Fax:770-425-4247
Practice Address - Street 1:732 KENNESAW AVE
Practice Address - Street 2:STE 120
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-9406
Practice Address - Country:US
Practice Address - Phone:770-425-4205
Practice Address - Fax:770-425-4247
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHYSICAL THERAPY CONSULTANTS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-17
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT001438225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA650024119Medicare ID - Type Unspecified