P Praxis·MD
● Active Type 1 · Individual

Ryan Taylor Faircloth

Physical Therapy Assistant·Pelham, GA· NPI 1780143354 · Enumerated 2019 · 7 years on NPI
Faircloth is 1 of 1 physical therapy assistant providers in Pelham and 1 of 1124 in Georgia.
NPI age
7 years
Enumerated 2019-03-13
Primary specialty
Physical Therapy Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-03-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1124 active physical therapy assistant providers in Georgia.

NPI age
7 years
↓ 2 yr below median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-03Enumerated in NPPES
2019 2026

Where they practice

Practice location
3139 Us Highway 19 Ne
Pelham, GA 317795391
📞 2293195145
Mailing address
3139 Us Highway 19 Ne
Pelham, GA 317795391
📞 2293195145

Specialties

  • Physical Therapy Assistant Primary
    (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
    GA license #PTA004184 taxonomy 225200000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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