Organization Active NPI

Spine & Sport Physical Therapy L P

  • Physical Therapy Clinic/Center
  • Woodstock, GA
National Provider Identifier
1093811101
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SPINE & SPORT PHYSICAL THERAPY L P
Practice address
203 Woodpark PL
Suite B220
Woodstock, GA 30188-3738
Phone
(770) 591-8228
Fax
(770) 591-8119
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Lawrance W McAfee
Title
Cfo
Phone
(713) 297-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

203 Woodpark PL
Suite B220
Woodstock, GA 30188-3738

Mailing address

203 Woodpark PL
Suite B220
Woodstock, GA 30188-3705
Phone (770) 951-8228

National Provider Directory

National Provider Directory

Locations

203 Woodpark Pl
Ste B220
Woodstock, GA 30188
Phone (770) 591-8228

2485 Towne Lake Pkwy
Ste F
Woodstock, GA 30189
Phone (770) 517-7707

2485 Towne Lake Pkwy
#F
Woodstock, GA 30189
Phone (770) 517-7707

Practitioners & affiliated clinicians

Practitioners 3

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1093811101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WOODPARK PL",
            "address_2": "SUITE B220",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883705",
            "telephone_number": "770-951-8228",
            "fax_number": "770-591-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WOODPARK PL",
            "address_2": "SUITE B220",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883738",
            "telephone_number": "770-591-8228",
            "fax_number": "770-591-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & SPORT PHYSICAL THERAPY L P",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "MCAFEE",
        "authorized_official_first_name": "LAWRANCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-297-7000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.