Valdosta Pediatric Therapy Services
LBN: Tri-State Rehabilitation
Valdosta Pediatric Therapy Services is an health care organization with primary practice located at 202 W Park Ave , Valdosta GA 31602-2507. 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.
Tri-State Rehabilitation can be contacted via phone (229) 253-8500, or through Deloach, Anna via phone (229) 253-8500.
Contact Information
Primary practice address
202 W Park Ave
Valdosta GA 31602-2507
Phone: (229) 253-8500
Fax: (229) 253-8522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 002693 | Georgia |
Profile Details
| NPI number | 1235282880 |
|---|---|
| LBN Legal business name | Tri-State Rehabilitation |
| DBA Doing business as | Valdosta Pediatric Therapy Services |
| Authorized official | Deloach, Anna Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jun 23rd, 2008 - about 16 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 | 1235282880 | NPPES |
| Georgia | Other | 52592064 - 001 | BLUE CROSS BLUE SHIELD |
| Georgia | MEDICAID | 000802425A | BLUE CROSS BLUE SHIELD |
| Georgia | Other | 257139725 | BLUE CROSS BLUE SHIELD |
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