PROVISION PHYSICAL THERAPY,LLC
NPI 1144741976
Physical Medicine & Rehabilitation - Sports Medicine in Fayetteville, GA

Active since July 01, 2017
105 COMMERCE DR STE B, FAYETTEVILLE, GA 30214(404) 692-1654 Get Directions Write a Review

NPPES record last updated: July 7, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2017, Jul 1, 2017 (2 updates tracked since 2017).

About Provision Physical Therapy,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVISION PHYSICAL THERAPY,LLC (NPI 1144741976) is a healthcare organization registered as a sports medicine in Fayetteville, Georgia and active in the NPI registry since July 2017. The organization lists Venilla Barnes, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1144741976
Entity TypeOrganization
Primary Taxonomy2081S0010X
Legal Business NamePROVISION PHYSICAL THERAPY,LLC
Location Address105 COMMERCE DR STE BFayetteville, GA 30214-7352
Mailing Address105 Commerce Dr Ste BFayetteville, GA 30214-7352 · (404) 692-1654 · Fax (404) 393-4044
Organization SubpartNo
Authorized OfficialVenilla BarnesPhysical Therapist · (404) 692-1654
Enumeration DateJuly 1, 2017
Last NPPES UpdateJuly 7, 20172 updates tracked since enumeration
NPI 1144741976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License Licensed in GA · PT009550
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
105 COMMERCE DR STE B, Fayetteville, GA 30214

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
105 COMMERCE DR STE B
FAYETTEVILLE, GA 30214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Provision Physical Therapy,llc's NPI number?

The NPI number for Provision Physical Therapy,llc is 1144741976. It was assigned to this organization in the NPPES registry on July 1, 2017.

Where is Provision Physical Therapy,llc located?

Provision Physical Therapy,llc is located at 105 Commerce Dr Ste B, Fayetteville, GA 30214. The listed phone number is (404) 692-1654.

What is Provision Physical Therapy,llc's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Provision Physical Therapy,llc was last updated on July 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.