Provider Demographics
NPI:1932301363
Name:PHYSICAL THERAPY PLUS, INC
Entity Type:Organization
Organization Name:PHYSICAL THERAPY PLUS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:THOMPSON
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:912-634-9945
Mailing Address - Street 1:2601 DEMERE RD
Mailing Address - Street 2:
Mailing Address - City:ST SIMONS ISLAND
Mailing Address - State:GA
Mailing Address - Zip Code:31522-1614
Mailing Address - Country:US
Mailing Address - Phone:912-634-9945
Mailing Address - Fax:912-638-1584
Practice Address - Street 1:3647 ALTAMA AVE
Practice Address - Street 2:VARSITY PLAZA
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-3631
Practice Address - Country:US
Practice Address - Phone:912-554-8886
Practice Address - Fax:912-554-8831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty