NPIMap

Organization Active NPI

On-Site Physical Therapy LLC

  • Physical Therapist
  • Decatur, GA
National Provider Identifier
1083731368
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5656 Issued in GA
Legal business name
ON-SITE PHYSICAL THERAPY LLC
Practice address
1190 Forrest Blvd
Decatur, GA 30030-4736
Phone
(404) 314-8441
Fax
(404) 289-3031
NPI assigned
Mar 23, 2007
Last updated
Mar 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Authorized official

Name
Cynthia Leigh Kelley, P.T.NPI 1497844237
Title
President
Phone
(404) 314-8441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 5656 GA Primary

Addresses

Primary practice location

1190 Forrest Blvd
Decatur, GA 30030-4736

Mailing address

1190 Forrest Blvd
Decatur, GA 30030-4736
Phone (404) 314-8441

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1083731368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 FORREST BLVD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304736",
            "telephone_number": "404-314-8441",
            "fax_number": "404-289-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 FORREST BLVD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304736",
            "telephone_number": "404-314-8441",
            "fax_number": "404-289-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON-SITE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-314-8441",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "5656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.