Form Pelvic Health LLC
NPI 1962275479 · Physical Therapist · Roswell, GA
Form Pelvic Health LLC is a Physical Therapist organization in Roswell, GA (NPI 1962275479).
Provider details
- NPI number
- 1962275479
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Blair Holliday, Owner(678) 936-0821
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-11-06
- Last updated
- 2023-11-06
- Certified
- 2023-11-03
Frequently asked questions
- What is Form Pelvic Health LLC's NPI number?
- Form Pelvic Health LLC's National Provider Identifier (NPI) is 1962275479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Form Pelvic Health LLC?
- Form Pelvic Health LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Form Pelvic Health LLC located?
- Form Pelvic Health LLC's practice location on file with NPPES is 1295 Hembree Rd Ste A203, Roswell, GA 30076-4953.
- What is Form Pelvic Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Form Pelvic Health LLC is (678) 731-7772.
- Who is the authorized official for Form Pelvic Health LLC?
- The authorized official listed on Form Pelvic Health LLC's NPPES record is Blair Holliday, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Form Pelvic Health LLC's NPI active?
- Yes — Form Pelvic Health LLC's NPI (1962275479) is active in the NPPES registry as of the last update on 2023-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.