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
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
Atl Rehab Perf Ctr Inc

Locations

266 Shoe Factory Rd
Unit 6A
Blairsville, GA 30512
Phone (706) 487-7510

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

448 W Kytle St
Ste C
Cleveland, GA 30528
Phone (706) 493-6770

2151 Homer Rd
Ste 120
Commerce, GA 30529
Phone (706) 708-1588

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

2108 Teron Trce
Ste 200
Dacula, GA 30019
Phone (404) 785-4260

2801 N Decatur Rd
Ste 230
Decatur, GA 30033
Phone (404) 294-7211

225 Adams Dr
Ste D
Demorest, GA 30535
Phone (706) 754-3067

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

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

620 Cherokee St NE
Marietta, GA 30060
Phone (678) 653-8742

528 Valley Hill Rd SW
Riverdale, GA 30274
Phone (678) 712-3072

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 165

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 165

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.