# SPORTS MEDICINE AND REHAB THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SMaRT Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396079224
- **Authorized official:** CINDA BRYSON (BILLING MGR)
- **Authorized official phone:** (912) 285-0053

## Contact information

- **Practice address:** 301 PINEVIEW DR, WAYCROSS, GA 31501-5229
- **Practice address phone:** (912) 285-0053
- **Practice address fax:** (912) 283-9289
- **Mailing address:** 301 PINEVIEW DR, WAYCROSS, GA 31501-5229
- **Mailing address phone:** (912) 285-0053

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/24/2009
- **Last updated:** 04/24/2026