Provider Demographics
NPI:1720373020
Name:HORIZONS THERAPY GROUP, INC.
Entity type:Organization
Organization Name:HORIZONS THERAPY GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:L
Authorized Official - Last Name:STACY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:678-472-4042
Mailing Address - Street 1:5179 MARSDEN TRCE
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-4321
Mailing Address - Country:US
Mailing Address - Phone:678-472-4042
Mailing Address - Fax:770-943-1122
Practice Address - Street 1:258 WOODFALL RD
Practice Address - Street 2:
Practice Address - City:CEDARTOWN
Practice Address - State:GA
Practice Address - Zip Code:30125-5904
Practice Address - Country:US
Practice Address - Phone:678-472-4042
Practice Address - Fax:770-943-1122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-14
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGA007304225100000X
225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty