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NPI Code Detail

MEDICARE: KARAH LEIGH LOFTIN PT, DPT

MEDICARE: KARAH LEIGH LOFTIN PT, DPT
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
1225100000XPhysical TherapistPT017557GA
22251E1300XClinical Electrophysiology Physical TherapistCPO52223TNC
32251E1300XClinical Electrophysiology Physical TherapistPT017557GA
42251E1300XClinical Electrophysiology Physical TherapistPTH11735AL
5225100000XPhysical TherapistCPO52223TNC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CPO52223TOTHERNCLICENSE

General Provider Information

NPI Number : 1891593422
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARAH LEIGH LOFTIN PT, DPT
Provider Business Mailing Address
First Line : PO BOX 370
Second Line :
City : FORTSON
State : GA
Zip : 31808-0370
Country : US
Telephone Number : 706-494-3171
Fax Number : 706-221-3132
Provider Business Practice Location Address
First Line : 8650 MINNIE BROWN RD STE 234
Second Line :
City : MONTGOMERY
State : AL
Zip : 36117-7433
Country : US
Telephone Number : 334-318-9023
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2025
Last Update Date : 03/13/2026

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