P Praxis·MD
● Active Type 2 · Organization

Somatic Physical Therapy Llc

Clinic/Center·Carrollton, GA· NPI 1528524352 · Enumerated 2019 · 7 years on NPI
Somatic Physical Therapy Llc is 1 of 627 clinic/center organizations in Georgia.
NPI age
7 years
Enumerated 2019-02-18
Primary specialty
Clinic/Center
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Long
Owner/physical Therapist
Last NPPES update
2019-02-18
Source: monthly bulk 2026-05

How this organization compares

Across 627 active clinic/center providers in Georgia.

NPI age
7 years
↓ 5 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0

NPI lifetime · 2019 → 2026

2019-02Enumerated in NPPES
2019 2026

Where they practice

Primary practice location
210 South St
Carrollton, GA 301173738
📞 4702150862
Mailing address
1576 Folkstone Rd Ne
Brookhaven, GA 303291305
📞 9209408350fax 4043934680

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1576 Folkstone Rd Ne
Brookhaven, GA 303291305
📞 9209408350fax 4043934680

Authorized official

Nicholas J Long, PT, DPT, CMTPT
Owner/physical Therapist
📞 9209408350

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    An 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...
    taxonomy 261QP2000X

Identifiers

TypeValueNotes
01 (GA) PT009781 PT LICENSE NUMBER
01 (GA) 18158 DRY NEEDLING CERTIFICATION, MYOPAIN 6-10-18

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Somatic Physical Therapy
    Type code 4 recorded 2019-02-18

Practice context

Multi-provider organization. 1 individual provider on file at this primary address. Plus 1 secondary practice location.

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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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