Provider Demographics
NPI:1912272303
Name:HANDS-ON PHYSIOTHERAPY, INC.
Entity Type:Organization
Organization Name:HANDS-ON PHYSIOTHERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:770-507-3233
Mailing Address - Street 1:700 PARK REGENCY PLACE
Mailing Address - Street 2:1004
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326
Mailing Address - Country:US
Mailing Address - Phone:770-507-3233
Mailing Address - Fax:404-814-1889
Practice Address - Street 1:1508 ROCK QUARRY RD
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-5047
Practice Address - Country:US
Practice Address - Phone:770-507-3233
Practice Address - Fax:404-814-1889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-19
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA004530225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000751704BMedicaid
GA000751704BMedicaid