P Praxis·MD
● Active Type 2 · Organization

Form Physical Therapy Llc

Physical Therapist·Roswell, GA· NPI 1457840290 · Enumerated 2018 · 8 years on NPI
Form Physical Therapy Llc is 1 of 7225 physical therapist organizations in Georgia.
NPI age
8 years
Enumerated 2018-05-07
Primary specialty
Physical Therapist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Holliday
Owner
Last NPPES update
2018-05-12
Source: monthly bulk 2026-05

How this organization compares

Across 7225 active physical therapist providers in Georgia.

NPI age
8 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-05Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
1295 Hembree Rd Ste A201
Roswell, GA 30076
📞 6789360821
Mailing address
4005 Dover Ave
Alpharetta, GA 300093283
📞 6789360821

Authorized official

Blair Holliday, MPT
Owner
📞 6789360821

Individual providers at this organization

3 individual providers on file at this primary practice address.

Specialties

  • Physical Therapist Primary
    Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
    GA license #PT008864 taxonomy 225100000X

Practice context

Multi-provider organization. 3 individual providers 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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