Provider Demographics
| NPI: | 1245784578 |
|---|---|
| Name: | PT PLUS OF AUGUSTA, LLC |
| Entity type: | Organization |
| Organization Name: | PT PLUS OF AUGUSTA, LLC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | LAURA |
| Authorized Official - Middle Name: | FRANCES |
| Authorized Official - Last Name: | COLEMAN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | PT |
| Authorized Official - Phone: | 540-943-0078 |
| Mailing Address - Street 1: | 201 OSAGE LN STE 3 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | WAYNESBORO |
| Mailing Address - State: | VA |
| Mailing Address - Zip Code: | 22980-9316 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 540-943-0078 |
| Mailing Address - Fax: | 540-943-0081 |
| Practice Address - Street 1: | 201 OSAGE LN STE 3 |
| Practice Address - Street 2: | |
| Practice Address - City: | WAYNESBORO |
| Practice Address - State: | VA |
| Practice Address - Zip Code: | 22980-9316 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 540-943-0078 |
| Practice Address - Fax: | 540-943-0081 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2016-08-03 |
| Last Update Date: | 2024-06-21 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Single Specialty |