Gregory C. Izenour, PTA

Physical Therapy Assistant · Smyrna, GA

Individual Active NPI

NPI number 1174268171

Practice location

1483 Springleaf Cir SE
Smyrna, GA 30080-2403
Phone
(404) 510-2927

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NPI record

NPI
1174268171
Entity type
Individual (Type 1)
Enumeration date
May 3, 2022
Last updated
May 3, 2022
Certified
May 3, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X PTA004519 GA

About Gregory Izenour

Gregory C. Izenour, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 1483 Springleaf Cir SE, Smyrna, GA 30080-2403. The NPI number 1174268171 was assigned on May 3, 2022 and the record was last updated on May 3, 2022.

Gregory Izenour lists a license in the registry: #PTA004519 (GA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gregory C. Izenour, PTA?

The NPI number is 1174268171.

What is the phone number of Gregory Izenour?

The phone number listed for the practice location is (404) 510-2927.

Where is Gregory Izenour located?

1483 Springleaf Cir SE, Smyrna, GA 30080-2403.

What is the taxonomy code for Gregory Izenour?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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