Unknown Individual – Physical Therapist, NPI 1104998632

Unknown Individual is a healthcare provider. based in Toccoa, Georgia. specializing in Physical Therapist. They hold a License No. 001104 (GA). The NPI Number for Unknown Individual is 1104998632

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104998632
Phone
(706) 886-6246
Address
120 ADDINGTON DR
Deactivation Date
19 July 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 120, Addington Drive, Toccoa, Stephens County, Georgia, 30577, United States

    TOCCOA, GA 305773806

    Phone: (706) 886-6246

    Type: Mailing

  • 441 Historic Highway, Demorest, Habersham County, Georgia, 30544, United States

    DEMOREST, GA 30535

    Phone: (706) 754-0029

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30577)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1104998632.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Toccoa, Georgia?
For routing, start with Toccoa, Georgia for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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