Unknown Individual – Physical Therapist, NPI 1790829463

Unknown Individual is a healthcare provider. based in Savannah, Georgia. specializing in Physical Therapist. They hold a License No. 3508 (GA). The NPI Number for Unknown Individual is 1790829463

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790829463
Phone
(912) 644-5300
Address
460 MALL BLVD
Deactivation Date
26 June 2025
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

Provider Addresses for Unknown Individual

  • 460 MALL BLVD

    STE B

    SAVANNAH, GA 314064801

    Phone: (912) 644-5300

    Fax: (912) 644-5260

    Type: Mailing

  • 3301 E 1ST ST

    SUITE B

    VIDALIA, GA 304748674

    Phone: (912) 537-0888

    Fax: (912) 644-5260

    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 31406)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1790829463.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Savannah, Georgia as a primary anchor for Unknown Individual unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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