The Athletic Therapy & Rehab Institute (Atari)

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007019 Issued in GA

Legal business name

THE ATHLETIC THERAPY & REHAB INSTITUTE (ATARI)

Practice address

4660 Riverside Park Blvd
Macon, GA 31210-1395

Phone

(478) 474-0240

Fax

(478) 474-5043

NPI assigned

Apr 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian J. Ross, PT, ATC

Title

Manager

Phone

(478) 474-0240

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1013134824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 RIVERSIDE PARK BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101395",
            "telephone_number": "478-474-0240",
            "fax_number": "478-474-5043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 RIVERSIDE PARK BLVD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101395",
            "telephone_number": "478-474-0240",
            "fax_number": "478-474-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ATHLETIC THERAPY & REHAB INSTITUTE (ATARI)",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "478-474-0240",
        "authorized_official_credential": "PT, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "007019",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT000866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie L Thames, LPC
• Carter E Tharpe, M.D.
• Laurie C Tharpe, MD
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• The Arc of Macon
• The Beauty Parlor Salon and Boutique, LLC
• The Bridge Counseling and Consultation Center
• The CHI Rho Collective, PC
• The Comfy Place LLC
• The Corporation of Mercer University

• All providers in Macon, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.