NPIMap

Organization Active NPI

Atlanta Rehabilitation and Performance Center

  • Physical Therapy Clinic/Center
  • Lawrenceville, GA
National Provider Identifier
1013789205
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ATLANTA REHABILITATION AND PERFORMANCE CENTER
Practice address
920 River Centre PL Ste 200
Lawrenceville, GA 30043-7320
Phone
(678) 205-5420
Fax
(678) 205-5462
NPI assigned
Oct 23, 2023
Last updated
Oct 23, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ATLANTA REHABILITATION AND PERFORMANCE CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
John HagyeNPI 1093808743
Title
VP Operations
Phone
(770) 982-0102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

920 River Centre PL Ste 200
Lawrenceville, GA 30043-7320

Mailing address

2400 Wisteria Dr Ste a
Snellville, GA 30078-2689
Phone (770) 982-0102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240712003998 GA DME Supplier - Independently-Practicing Occupational Therapist 5890692917 Practice locations: Lawrenceville, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Atlanta Rehabilitation and Performance Center

Locations

2800 Buford Dr
Ste 315
Buford, GA 30519
Phone (678) 450-9933

5007 B U Bowman Dr
Buford, GA 30518
Phone (470) 780-5100

5328 Lanier Islands Pkwy
Ste 100
Buford, GA 30518
Phone (678) 450-9933

1735 Buford Hwy
Ste 310
Cumming, GA 30041
Phone (770) 381-9226

2920 Ronald Reagan Blvd
Ste 106
Cumming, GA 30041
Phone (770) 887-0502

145 Forest Blvd
Ste 200
Dawsonville, GA 30534
Phone (706) 203-2100

7316 Spout Springs Rd
Ste 103
Flowery Branch, GA 30542
Phone (678) 318-8030

2350 Limestone Pkwy
Gainesville, GA 30501
Phone (770) 534-5154

960 Lee St
Ste 205
Jefferson, GA 30549
Phone (706) 708-0001

1455 Pleasant Hill Rd
Ste 501
Lawrenceville, GA 30044
Phone (770) 381-9226

920 River Centre Pl
#200
Lawrenceville, GA 30043
Phone (678) 205-5420

4220 Mundy Mill Pl
Ste 2B
Oakwood, GA 30566
Phone (678) 450-9933

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 167

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 167

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1013789205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WISTERIA DR STE A",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782689",
            "telephone_number": "770-982-0102",
            "fax_number": "770-982-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 RIVER CENTRE PL STE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437320",
            "telephone_number": "678-205-5420",
            "fax_number": "678-205-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA REHABILITATION AND PERFORMANCE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTA REHABILITATION AND PERFORMANCE CENTER, INC",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "HAGYE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "770-982-0102"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.