P Praxis·MD
● Active Type 2 · Organization

Provision Physical Therapy,llc

Physical Medicine & Rehabilitation·Fayetteville, GA· NPI 1144741976 · Enumerated 2017 · 8 years on NPI
Provision Physical Therapy,llc is 1 of 46 physical medicine & rehabilitation organizations in Georgia.
NPI age
8 years
Enumerated 2017-07-01
Primary specialty
Physical Medicine & Rehabilitation
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Barnes
Physical Therapist
Last NPPES update
2017-07-07
Source: monthly bulk 2026-05

How this organization compares

Across 46 active physical medicine & rehabilitation providers in Georgia.

NPI age
8 years
≈ at median (7 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2017 → 2026

2017-07Enumerated in NPPES
2017 2026

Where they practice

Primary practice location
105 Commerce Dr Ste B
Fayetteville, GA 302147352
📞 4046921654
Mailing address
105 Commerce Dr Ste B
Fayetteville, GA 302147352
📞 4046921654fax 4043934044

Authorized official

Venilla Barnes, PT,DPT
Physical Therapist
📞 4046921654

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Physical Medicine & Rehabilitation Primary
    A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the...
    GA license #PT009550 taxonomy 2081S0010X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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