NPI age
14 years
Enumerated 2011-06-02
● Active Type 2 · Organization
Deloach Physical Therapy
Deloach Physical Therapy is 1 of 627 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Deloach
Owner
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
How this organization compares
Across 627 active clinic/center providers in Georgia.
NPI age
14 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-06Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
420 Northside Dr
Valdosta, GA 316021802
Mailing address
420 Northside Dr
Valdosta, GA 31602
Authorized official
Albert Wayne Deloach
Owner
📞 2293338001
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Ashleigh Atkinson, MOT, OTR/L Occupational Therapist NPI 1679039929
- Albert Deloach Clinic/Center NPI 1477851038
- Patrick Moon, DPT Physical Therapist NPI 1982169777
- Shawn Tywon, PA Physician Assistant NPI 1679541098
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.