Provider Demographics
NPI:1487270914
Name:DOCJAY PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:DOCJAY PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:404-388-3811
Mailing Address - Street 1:6740 SHANNON PKWY STE 14
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30291-2061
Mailing Address - Country:US
Mailing Address - Phone:404-388-3811
Mailing Address - Fax:404-393-7533
Practice Address - Street 1:6740 SHANNON PKWY STE 14
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:GA
Practice Address - Zip Code:30291-2061
Practice Address - Country:US
Practice Address - Phone:404-388-3811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-20
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy