Roswell Therapy Services LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

060-03-031-9 Issued in GA

Legal business name

ROSWELL THERAPY SERVICES LLC

Practice address

10929 Crabapple Rd
Roswell, GA 30075-7657

Phone

(770) 645-1900

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Bryan Richardson

Title

Evp/Cao

Phone

(615) 221-2250

Specialties & licenses 1

Addresses

Other names 1

• Innovative Senior Care at Roswell Doing business as

Locations

Practitioners 1

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

• Mavis D Ivy, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Dunwoody, GA
  • NPI 1164659421
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1073563763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10929 CRABAPPLE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757657",
            "telephone_number": "770-645-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10929 CRABAPPLE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757657",
            "telephone_number": "770-645-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSWELL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "EVP/CAO",
        "authorized_official_telephone_number": "615-221-2250"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "060-03-031-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Senior Care at Roswell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roswell Psychiatric Services, PC
• Roswell Radiology Associates
• Roswell Recovery Center LLC
• Roswell Speech Therapy, LLC
• Roswell Surgery Center LLC
• Roswell Urgent Care Center LLC
• Roswellrx Pharmacy LLC
• Ajah Rountree
• Amy Rowan, MA CCC-SLP
• Tyneria Rowe, SPECIALIST

• Physical Therapy Clinic/Center in Roswell, GA
• Providers in Roswell, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.