Organization Active NPI

Tensegrity Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Atlanta, GA
National Provider Identifier
1043078652
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TENSEGRITY REHABILITATION INC
Practice address
6400 Powers Ferry Rd Ste 365
Atlanta, GA 30339-2963
Phone
(678) 842-3767
Fax
(678) 284-2744
NPI assigned
Mar 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Mr. Robert Kent Osborn, PTNPI 1801974035
Title
Owner
Phone
(770) 568-7118

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

6400 Powers Ferry Rd Ste 365
Atlanta, GA 30339-2963

Mailing address

56 Strickland Dr SW
Mableton, GA 30126-1844
Phone (770) 568-7118

Other names 1

  • My Personal PT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240522003610 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608218656 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

6400 Powers Ferry Rd
Ste 365
Sandy Springs, GA 30339
Phone (678) 842-3767

1675 Cumberland Pkwy SE
Ste 202
Smyrna, GA 30080
Phone (678) 842-3767

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1043078652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 STRICKLAND DR SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301261844",
            "telephone_number": "770-568-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 POWERS FERRY RD STE 365",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392963",
            "telephone_number": "678-842-3767",
            "fax_number": "678-284-2744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENSEGRITY REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-568-7118",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Personal PT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Personal PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.