Provider Demographics
NPI:1336176213
Name:ALL HEALTH PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:ALL HEALTH PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:SOMERVILLE
Authorized Official - Last Name:REPASKY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:770-493-6360
Mailing Address - Street 1:2060 E EXCHANGE PL STE 100
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-5328
Mailing Address - Country:US
Mailing Address - Phone:770-493-6360
Mailing Address - Fax:770-493-6350
Practice Address - Street 1:2060 E EXCHANGE PL STE 100
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-5328
Practice Address - Country:US
Practice Address - Phone:770-493-6360
Practice Address - Fax:770-493-6350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-27
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT002211225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP6722Medicare ID - Type Unspecified