OrganizationActive
Elite Physical Therapy, Inc.
NPI 1164594859 · Physical Therapist · Commerce, GA
Provider details
- NPI number
- 1164594859
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Brian Vandiver, PT Co Owner President(706) 335-3816
- License
- PT004868 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
205 Mercer Pl
Homer Road
Commerce, GA 30529-1564
Phone: (706) 335-3816
Fax: (706) 335-3819
Approximate (ZIP-level) locationGet directions
Mailing address
205 Mercer Pl
Commerce, GA 30529-1564
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2009-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.