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 is a Physical Therapist 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
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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