NPI age
15 years
Enumerated 2011-01-18
● Active Type 2 · Organization
Subpart
Physio Lab Physical Therapy
Physio Lab Physical Therapy is 1 of 489 physical medicine & rehabilitation organizations in Georgia.
Primary specialty
Physical Medicine & Rehabilitation
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Watson
Owner
Last NPPES update
2011-01-18
Source: monthly bulk 2026-05
How this organization compares
Across 489 active physical medicine & rehabilitation providers in Georgia.
NPI age
15 years
≈ at median (14 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-01Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
107 Peacock Dr
Warner Robins, GA 310883637
Mailing address
107 Peacock Dr
Warner Robins, GA 310883637
Authorized official
Simon Victor Lloyd Watson
Owner
📞 4789196835
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Omorogiuwa Iguobadia, MD Pediatrics NPI 1841639713
- Keilah Jones, CPNP-PC Nurse Practitioner NPI 1821569716
Specialties
-
Physical Medicine & Rehabilitation PrimaryPhysical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from...
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Subpart of Corvic Group Llc.
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