MEDICARE: CTO THERAPY, LLC

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1790626141
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CTO THERAPY, LLC

Provider Business Mailing Address
First Line	:	253 WINDCROFT LN NW
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-6655
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	253 WINDCROFT LN NW
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-6655
Country	:	US
Telephone Number	:	770-757-6393
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	DR. CALLIE O'LEARY
Credential	:	PT, DPT
Telephone Number	:	770-757-6393

Provider Enumeration Date	:	04/01/2026
Last Update Date	:	04/01/2026

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Directions to “CTO THERAPY, LLC ” Practice Location

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