PHYSIO NPI 1326403361

NPI Information

  • NPI: 1326403361
  • Provider Name: PHYSIO
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Organization
  • Address: 100 MOUNTAIN VIEW DR
    SUITE 100
    CUMMING, GA
    ZIP 30040
  • Phone: (770) 889-2163

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NPI Details

PHYSIO is an orthopedic physical therapist in Cumming, GA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. PHYSIO NPI is 1326403361. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 MOUNTAIN VIEW DR
SUITE 100
CUMMING, GA
ZIP 30040-434
Phone: (770) 889-2163
Fax: (770) 889-4385

The provider's authorized official is Laurri Wallace .
The authorized official title is Area Vice President and has the following contact phone number (678) 459-7792.

The enumeration date for this NPI number is 12/17/2015 and was last updated on 12/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251X0800XPhysical TherapistOrthopedicPT012173GEORGIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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