FORM PHYSICAL THERAPY LLC
NPI 1457840290
Physical Therapist in Roswell, GA

Active since May 07, 2018
1295 HEMBREE RD STE A201, ROSWELL, GA 30076(678) 936-0821 Get Directions Write a Review

NPPES record last updated: May 12, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Form Physical Therapy Llc NPPES

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

FORM PHYSICAL THERAPY LLC (NPI 1457840290) is a healthcare organization registered as a physical therapist in Roswell, Georgia and active in the NPI registry since May 2018. The organization lists Blair Holliday, Owner, as its authorized official.

NPPES Registry Identity

NPI1457840290
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameFORM PHYSICAL THERAPY LLC
Location Address1295 HEMBREE RD STE A201Roswell, GA 30076
Mailing Address4005 Dover AveAlpharetta, GA 30009-3283 · (678) 936-0821
Organization SubpartNo
Authorized OfficialBlair HollidayOwner · (678) 936-0821
Enumeration DateMay 7, 2018
Last NPPES UpdateMay 12, 2018
NPI 1457840290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in GA · PT008864
Definition
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 to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1295 HEMBREE RD STE A201, Roswell, GA 30076

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

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Physical Therapist
1295 HEMBREE RD STE A201
ROSWELL, GA 30076
Physical Therapist
1295 HEMBREE RD STE A201
ROSWELL, GA 30076
Physical Therapist
1295 HEMBREE RD STE A201
ROSWELL, GA 30076

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 Form Physical Therapy LLC's NPI number?

The NPI number for Form Physical Therapy LLC is 1457840290. It was assigned to this organization in the NPPES registry on May 7, 2018.

Where is Form Physical Therapy LLC located?

Form Physical Therapy LLC is located at 1295 Hembree Rd Ste A201, Roswell, GA 30076. The listed phone number is (678) 936-0821.

What is Form Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

What insurance does Form Physical Therapy LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Form Physical Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Form Physical Therapy LLC was last updated on May 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.