MEDICARE: THOMAS E SUMMERFORD PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT014599	GA

General Provider Information

NPI Number	:	1568108488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS E SUMMERFORD PT

Provider Business Mailing Address
First Line	:	6720 FLAT ROCK CT STE A
Second Line	:
City	:	MIDLAND
State	:	GA
Zip	:	31820-3663
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6720 FLAT ROCK CT STE A
Second Line	:
City	:	MIDLAND
State	:	GA
Zip	:	31820-3663
Country	:	US
Telephone Number	:	706-580-4437
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2022
Last Update Date	:	03/14/2026

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Directions to “ THOMAS E SUMMERFORD PT” Practice Location

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