Active NPI
Smyrna Medical and Physical Therapy, LLC
- Physical Medicine & Rehabilitation Physician
- Smyrna, GA
National Provider Identifier
1033396320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- SMYRNA MEDICAL AND PHYSICAL THERAPY, LLC
- Practice address
- 3330 S Cobb Dr SE
Suite B
Smyrna, GA 30080-4118 - Phone
- (770) 444-0211
- Fax
- (770) 444-0079
- NPI assigned
- Jan 29, 2008
- Last updated
- Jan 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carl T Shenkman
- Title
- Medical Director
- Phone
- (770) 444-0211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
3330 S Cobb Dr SE
Suite B
Smyrna, GA 30080-4118
Mailing address
3330 S Cobb Dr SE
Suite B
Smyrna, GA 30080-4118
Phone (770) 444-0211
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201564800000",
"number": "1033396320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 S COBB DR SE",
"address_2": "SUITE B",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300804118",
"telephone_number": "770-444-0211",
"fax_number": "770-444-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 S COBB DR SE",
"address_2": "SUITE B",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300804118",
"telephone_number": "770-444-0211",
"fax_number": "770-444-0079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMYRNA MEDICAL AND PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-29",
"last_updated": "2008-01-29",
"status": "A",
"authorized_official_last_name": "SHENKMAN",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "770-444-0211"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
- Smyrna Emergency Physicians LLC
- Smyrna Eye Group, P.C.
- Smyrna Family Medicine, LLC (Premier Primary Care Medicine)
- Smyrna Hand Therapy, LLC
- Smyrna Integrated Health
- Smyrna Medical Associates, PC
- Smyrna Oral and Maxillofacial Surgery and Implantology Center, LLC (Precision Oral Surgery)
- Smyrna Orthopaedic & Sports Medicine Center, PC
- Leland Jay Snaider
- Patrick H Sneed, MPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.