Valdosta Pediatric Therapy Services

LBN: Tri-State Rehabilitation Inc.
Valdosta Pediatric Therapy Services is an health care organization with primary practice located at 200 W Moore St , Valdosta GA 31602-2919. 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 / Occupational Therapist is the primary health care specialty. Tri-State Rehabilitation Inc. can be contacted via phone (229) 253-8500, or through George, Frank Larry via phone (229) 253-8500.

Contact Information

Primary practice address
200 W Moore St Valdosta GA 31602-2919
Phone: (229) 253-8500
Fax: (229) 253-8522
Website:
Map and Directions
Authorized official contact:
Name: George, Frank Larry OTR/L
Phone: (229) 253-8500

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 008640 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 000668 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 002693 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 000755 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 003018 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 003031 Georgia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 002047 Georgia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 005367 Georgia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 004442 Georgia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 006513 Georgia

Profile Details

NPI number 1093868788
LBN Legal business name Tri-State Rehabilitation Inc.
DBA Doing business as Valdosta Pediatric Therapy Services
Authorized official George, Frank Larry OTR/L
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Jul 23rd, 2020 - about 5 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 1093868788 NPPES
Georgia MEDICAID 300028433A

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