Psa Healthcare

LBN: Psa Healthcare
Psa Healthcare is an health care organization with primary practice located at 770 Baconsfield Dr Building 1, Macon GA 31211-1400. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Psa Healthcare can be contacted via phone (478) 841-2772, or through Robinson, Theresa via phone (478) 841-2772.

Contact Information

Primary practice address
770 Baconsfield Dr Building 1 Macon GA 31211-1400
Phone: (478) 841-2772
Fax: (478) 841-2644
Website:
Map and Directions
Authorized official contact:
Name: Robinson, Theresa MS-CCC-SLP
Phone: (478) 841-2772

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT002429 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT002435 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT003589 Georgia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP001909 Georgia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP005082 Georgia

Profile Details

NPI number 1578628087
LBN Legal business name Psa Healthcare
DBA Doing business as
Authorized official Robinson, Theresa MS-CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Aug 1st, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578628087 NPPES
Georgia MEDICAID 000760702C
Georgia MEDICAID 000699784F
Georgia MEDICAID 000868238C
Georgia MEDICAID 000954665B
Georgia MEDICAID 000913844D

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