NPI Code Details Logo

NPI 1720373020

NPI 1720373020 : HORIZONS THERAPY GROUP, INC. : CEDARTOWN, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1720373020
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HORIZONS THERAPY GROUP, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/14/2011
-----------------------------------------------------
    Last Update Date     |    11/15/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    258 WOODFALL RD 
-----------------------------------------------------
    City                 |    CEDARTOWN
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30125-5904
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    678-472-4042
-----------------------------------------------------
    Fax                  |    770-943-1122
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5179 MARSDEN TRCE 
-----------------------------------------------------
    City                 |    POWDER SPRINGS
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30127-4321
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    678-472-4042
-----------------------------------------------------
    Fax                  |    770-943-1122
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |    MRS. LISA L. STACY 
-----------------------------------------------------
    Credential           |    P.T.
-----------------------------------------------------
    Telephone            |    678-472-4042
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    225X00000X
-----------------------------------------------------
    Taxonomy Name        |    Occupational Therapist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    225100000X
-----------------------------------------------------
    Taxonomy Name        |    Physical Therapist
-----------------------------------------------------
    License Number       |    GA007304
-----------------------------------------------------
    License Number State |    GA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.