Form Physical Therapy LLC in Roswell, GA
This location of Form Physical Therapy bills under NPI 1457840290, an organization record issued on May 7, 2018 with the primary taxonomy Physical Therapist. It is one of 5 NPIs registered under this name; each clinician who sees you there has their own NPI and license.
Organization recordNPPES, Aug 2026
1457840290
- Legal name
- Form Physical Therapy LLC
- Entity
- Type 2 · organization
- Primary taxonomy
- Physical Therapist 225100000X
- Practice location
- 1295 HEMBREE RD STE A201, Roswell, GA 30076
- Phone
- 678-936-0821
- Mailing address
- Alpharetta, GA
- Enumerated
- May 7, 2018
- Record updated
- May 12, 2018
- Authorized official
- Owner (title as filed)
5 clinicians CMS lists with Form Physical Therapy in Roswell
- Blair Holliday, MSPTPhysical Therapist1891001558
- Brian Holliday, DPTPhysical Therapist1376943274
- Natalie Jacobson, PT, DPTPhysical Therapist1871105890
- Brianna Reynolds, PTPhysical Therapist1124990593
- Meghan Rud, PT, DPTPhysical Therapist1871161778
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
All 5 Form Physical Therapy NPIs
Every location registered under this name, in 5 cities.
See every locationChecking an organization
- Confirm the business with the Georgia secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
Common questions
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.