On-Site Physical Therapy LLC

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

Organization subpart

No

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

Authorized official

Name

Cynthia Leigh Kelley, P.T.

Title

President

Phone

(404) 314-8441

Specialties & licenses 1

Addresses

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": []
}

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• Physical Therapist in Decatur, GA
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• 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.