FORM PELVIC HEALTH LLC
NPI 1962275479
Physical Therapist in Roswell, GA

Active since November 06, 2023
1295 HEMBREE RD STE A203, ROSWELL, GA 30076(678) 731-7772(678) 731-7773 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Form Pelvic Health Llc NPPES

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

FORM PELVIC HEALTH LLC (NPI 1962275479) is a healthcare organization registered as a physical therapist in Roswell, Georgia and active in the NPI registry since November 2023. The organization lists Blair A Holliday, Owner, as its authorized official.

NPPES Registry Identity

NPI1962275479
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameFORM PELVIC HEALTH LLC
Location Address1295 HEMBREE RD STE A203Roswell, GA 30076-4953
Mailing Address1295 Hembree Rd Ste A203Roswell, GA 30076-4953 · (678) 731-7772 · Fax (678) 731-7773
Fax(678) 731-7773
Organization SubpartNo
Authorized OfficialBlair A HollidayOwner · (678) 936-0821
Enumeration DateNovember 6, 2023
NPPES CertifiedNovember 3, 2023
NPI 1962275479 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
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 A203, 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

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 Pelvic Health LLC's NPI number?

The NPI number for Form Pelvic Health LLC is 1962275479. It was assigned to this organization in the NPPES registry on November 6, 2023.

Where is Form Pelvic Health LLC located?

Form Pelvic Health LLC is located at 1295 Hembree Rd Ste A203, Roswell, GA 30076. The listed phone number is (678) 731-7772.

What is Form Pelvic Health LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Form Pelvic Health LLC was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.