Provider profile · NPI 1962633131

Activekidz And Adult Therapy Services

Physical Therapist · Watkinsville, GA · NPI 1962633131 · No federal exclusion match

✔ Verified against the public CMS NPPES registry & HHS-OIG LEIE as of Jun 21, 2026. Source-linked, daily-refreshed. Public data only — no PHI.

Registry details

Type

Organization

Primary specialty

Physical Therapist

Enumerated

Aug 5, 2009

License(s)

5588 (GA), 3287 (GA), 5359 (GA)

Addresses on file

PurposeAddressCity/StatePhone
LOCATION1071 THOMAS AVE Watkinsville, GA 30677-6073770-207-6390
MAILING1431 CAPITAL AVE STE 123 Watkinsville, GA 30677-1883706-338-8058

View on NPPES registry ↗

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