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

Individual provider Physical Therapy Assistant · NPI 1780143354

Ryan Taylor Faircloth is a Physical Therapy Assistant in Pelham, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2019
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Practice location Address checks out

3139 US Highway 19 NE
Pelham, GA 31779-5391
Phone: (229) 319-5145
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA004184 (GA)

Record details

NPI number1780143354
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 13, 2019
Last updated in NPPESMarch 13, 2019