In Home Rehab Georgia LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1678 Issued in GA

Legal business name

IN HOME REHAB GEORGIA LLC

Practice address

3053 Intrepid Close
Marietta, GA 30062-6603

Phone

(770) 973-2207

NPI assigned

Jul 30, 2006

Last updated

Oct 8, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jimmy Biga

Title

Owner

Phone

(770) 973-2207

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191801600000",
    "number": "1023023868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 INTREPID CLOSE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 INTREPID CLOSE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626603",
            "telephone_number": "770-973-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME REHAB GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-10-08",
        "status": "A",
        "authorized_official_last_name": "BIGA",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-973-2207"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "1678",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003837",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GA",
            "identifier": "51101008-00",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; 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.