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

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

Practice location Address checks out

3139 US Highway 19 NE
Pelham, GA 31779-5391
Phone: (229) 319-5145
Show map & directions

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
Mailing address3139 Us Highway 19 Ne, Pelham, GA 31779-5391