Provider Demographics
NPI:1801962873
Name:ACCELERATED PHYSICAL THERAPY, INC.
Entity type:Organization
Organization Name:ACCELERATED PHYSICAL THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAW
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:229-924-9595
Mailing Address - Street 1:205 EAST LAMAR ST.
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709
Mailing Address - Country:US
Mailing Address - Phone:229-924-9595
Mailing Address - Fax:229-924-9540
Practice Address - Street 1:613 E LAMAR ST STE A
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-3757
Practice Address - Country:US
Practice Address - Phone:229-924-9595
Practice Address - Fax:229-924-9540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP5031Medicare UPIN