Active NPI
Atlanta Rehabilitation and Performance Center
- Physical Therapy Clinic/Center
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Hagye
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Physical Therapy Clinic/Center
- Cleveland, GA
- NPI 1982797494
5890692917
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.
-
- Physical Therapy Clinic/Center
- Cleveland, GA
- NPI 1982797494
Practitioners & affiliated clinicians
Practitioners 165
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Snellville, GA
- NPI 1093808743
-
- Physical Therapist
- Bethlehem, GA
- NPI 1598492829
-
- Physical Therapist
- Dawsonville, GA
- NPI 1073471124
-
- Physical Therapist
- Gainesville, GA
- NPI 1164035648
-
- Physical Therapist
- Decatur, GA
- NPI 1790160919
-
- Physical Therapist
- Atlanta, GA
- NPI 1952500381
-
- Physical Therapist
- Peachtree Corners, GA
- NPI 1174205843
-
- Physical Therapist
- Flowery Branch, GA
- NPI 1871370445
-
- Physical Therapist
- Gainesville, GA
- NPI 1336000256
-
- Physical Therapist
- Snellville, GA
- NPI 1922995497
-
- Physical Therapist
- Lawrenceville, GA
- NPI 1255069779
-
- Physical Therapist
- Johns Creek, GA
- NPI 1114600186
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.