<Unavail>
LBN: Michael R Wisdom Pt Physical Therapy Inc
<Unavail> is an health care organization with primary practice located at 630 Orange S Wisdom Physical Therapy, Macon GA 31201. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty.
Michael R Wisdom Pt Physical Therapy Inc can be contacted via phone (478) 746-5469, or through Wisdom, Michael Ray via phone (478) 746-5469.
Contact Information
Primary practice address
630 Orange S Wisdom Physical Therapy
Macon GA 31201
Phone: (478) 746-5469
Fax: (478) 750-7841
Website:
Authorized official contact:
Name: Wisdom, Michael Ray Physical Therapist (PT)
Phone: (478) 746-5469
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT000867 | Georgia |
Profile Details
| NPI number | 1467466367 |
|---|---|
| LBN Legal business name | Michael R Wisdom Pt Physical Therapy Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Wisdom, Michael Ray Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467466367 | NPPES |
| Georgia | Other | 980154 | BLUE CROSS BLUE SHIELD |
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