Healthcare Provider Details

I. General information

NPI: 1407767585
Provider Name (Legal Business Name): EMPOWER PHYSICAL THERAPY & WOMEN'S WELLNESS - THOMASVILLE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1203 E JACKSON ST
THOMASVILLE GA
31792-4748
US

IV. Provider business mailing address

1203 E JACKSON ST
THOMASVILLE GA
31792-4748
US

V. Phone/Fax

Practice location:
  • Phone: 229-228-4155
  • Fax:
Mailing address:
  • Phone: 229-228-4155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: TAYLOR SMITH
Title or Position: OWNER
Credential: DPT
Phone: 229-403-8084