NPIMap

Organization Active NPI

Ability Rehab, LLC

Doing business as Ability Rehab

  • Rehabilitation Clinic/Center
  • Atlanta, GA
National Provider Identifier
1104138361
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
OPPT000791 Issued in GA
Legal business name
ABILITY REHAB, LLC
Doing business as
Ability Rehab
Practice address
1835 Savoy Dr.
Suite 100
Atlanta, GA 30341-1072
Phone
(678) 298-9484
Fax
(678) 826-4033
NPI assigned
Jul 4, 2010
Last updated
Mar 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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

Authorized official

Name
Mr. Prasant H Desai, MBA, MPH
Title
Administrator
Phone
(678) 298-9484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X OPPT000791 GA Primary

Addresses

Primary practice location

1835 Savoy Dr.
Suite 100
Atlanta, GA 30341-1072

Mailing address

1835 Savoy Dr.
Suite 100
Atlanta, GA 30341-1072
Phone (678) 298-9484

Other identifiers 3

IdentifierTypeStateIssuer
003111721AMedicaidGA
202G709590OtherGAMEDICARE PTAN
704857OtherGAWELLCARE

Other names 1

  • Ability Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

5300 Tilly Mill Rd
Dunwoody, GA 30338
Phone (678) 298-9484

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1278201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362700800000",
    "number": "1104138361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 SAVOY DR.",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411072",
            "telephone_number": "678-298-9484",
            "fax_number": "678-826-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 SAVOY DR.",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411072",
            "telephone_number": "678-298-9484",
            "fax_number": "678-826-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABILITY REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-04",
        "last_updated": "2013-03-08",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "PRASANT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-298-9484",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, MPH"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "GA",
            "license": "OPPT000791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003111721A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202G709590",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "704857",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ability Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.