Core Physical Therapy, LLC
Core Physical Therapy, LLC is a healthcare organization registered as Physical Therapy Clinic/Center in Vidalia, LA, holding Type 2 (organization) NPI 1548659840 since 2015. The authorized official on file is Milah Mcgraw, Bus Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1548659840 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Core Physical Therapy, LLC |
| Practice address | 4616 HIGHWAY 84 W, Vidalia, LA, 71373 |
| Phone | 3183365400 |
| Fax | 3183368621 |
| Enumeration date | 2015-01-09 |
| Last updated in NPPES | 2024-01-31 |
Authorized official
| Name | Milah Mcgraw |
|---|---|
| Title | Bus Manager |
| Phone | 3183365400 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2000X | Physical Therapy Clinic/Center | Primary | 09009R | LA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05702398 | Medicaid | MS | — |
| 236280 | Medicaid | LA | — |
Copy-ready billing details
Provider: Core Physical Therapy, LLC NPI: 1548659840 Taxonomy: 261QP2000X (Physical Therapy Clinic/Center) Address: 4616 HIGHWAY 84 W, Vidalia, LA, 71373
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1154596377 | Jessica Clayton | Individual | Orthopedic Physical Therapist | Vidalia, LA |
| 1043719040 | Lacey Ozburn | Individual | Physical Therapist | Vidalia, LA |
| 1629693601 | Blakelynn Bass | Individual | Physical Therapist | Vidalia, LA |
Verify this record
Cross-check NPI 1548659840 against the authoritative CMS record: view Core Physical Therapy, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Core Physical Therapy, LLC?
Who is the authorized official for Core Physical Therapy, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-01-31.