Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Country Physical Therapy LLC

Organization Physical Therapist · NPI 1548601909

Lake Country Physical Therapy LLC provides Physical Therapist services in Eatonton, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

121 Sebastian Dr
Eatonton, GA 31024-5750 Not confirmed with CMS for 13 years — call before visiting
Phone: (706) 473-2348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT004255 (GA)

Record details

NPI number1548601909
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Eisele — Physical Therapist · (706) 473-2348
NPI enumeratedJuly 15, 2013
Last updated in NPPESJuly 15, 2013
Mailing address121 Sebastian Dr, Eatonton, GA 31024-5750

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