Organization Active NPI

Icare Health and Wellness LLC

  • Physical Therapist
  • Sandy Springs, GA
National Provider Identifier
1093554891
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ICARE HEALTH AND WELLNESS LLC
Practice address
1200 Altmore Ave Ste C-200
Sandy Springs, GA 30342-2449
Phone
(404) 751-7880
NPI assigned
May 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Tao Tony LiuNPI 1861079949
Title
Physical Therapist
Phone
(770) 381-8240

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 TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1200 Altmore Ave Ste C-200
Sandy Springs, GA 30342-2449

Mailing address

183 Dover Commons Dr
Tucker, GA 30084-8469
Phone (770) 381-8240

National Provider Directory

National Provider Directory
Tax ID family
I Care Health and Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1200 Altmore Ave
Ste C200
Sandy Springs, GA 30342
Phone (404) 751-7880

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": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1093554891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 DOVER COMMONS DR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300848469",
            "telephone_number": "770-381-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ALTMORE AVE STE C-200",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303422449",
            "telephone_number": "404-751-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "TAO",
        "authorized_official_middle_name": "TONY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "770-381-8240"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.