Healthcare Provider Details

I. General information

NPI: 1184700585
Provider Name (Legal Business Name): PHYSIOTHERAPY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

332 WASHINGTON STREET SUITE 310
GAINSVILLE GA
30501
US

IV. Provider business mailing address

PO BOX 518
JONESBORO GA
30236
US

V. Phone/Fax

Practice location:
  • Phone: 770-718-9497
  • Fax:
Mailing address:
  • Phone: 770-631-8227
  • Fax: 770-631-9403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JUD HOFF
Title or Position: GENERAL MANAGER
Credential:
Phone: 901-685-7227