Atlanta Rehabilitation Physicians, P.C.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ATLANTA REHABILITATION PHYSICIANS, P.C.

Practice address

11775 Pointe PL
Suite 103
Roswell, GA 30076-4655

Phone

(770) 619-0010

Fax

(770) 664-6511

NPI assigned

Dec 16, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Brent Anthony Clower, D.O.NPI 1447488564

Title

President/Physician

Phone

(770) 402-1845

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/148d0862-3261-4a44-ba2d-29293ff91161/

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brent Anthony Clower, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Roswell, GA
  • NPI 1447488564
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1104224641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 LEGEND RUN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052282",
            "telephone_number": "770-402-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11775 POINTE PL",
            "address_2": "SUITE 103",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764655",
            "telephone_number": "770-619-0010",
            "fax_number": "770-664-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA REHABILITATION PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "CLOWER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "770-402-1845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.