MEDICARE: P4 PHYSICAL THERAPY LIMITED PARTNERSHIP

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1649046855
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	P4 PHYSICAL THERAPY LIMITED PARTNERSHIP

Provider Business Mailing Address
First Line	:	115 SUMNER RD
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-4758
Country	:	US
Telephone Number	:	706-407-4446
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 SUMNER RD
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-4758
Country	:	US
Telephone Number	:	706-407-4446
Fax Number	:

Authorized Official
Title or Position	:	EVP
Name	:	RICHARD BINSTEIN
Credential	:
Telephone Number	:	713-297-7000

Provider Enumeration Date	:	11/29/2023
Last Update Date	:	07/30/2025

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