NPIMap

Organization Active NPI

Human Performance and Rehabilitation Centers, LLC

  • Physical Therapist
  • Columbus, GA
National Provider Identifier
1104415983
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HUMAN PERFORMANCE AND REHABILITATION CENTERS, LLC
Practice address
6298 Veterans Pkwy Ste 5a
Columbus, GA 31909-6245
Phone
(706) 322-7762
Fax
(706) 327-6157
NPI assigned
Jan 15, 2021
Last updated
Sep 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Brian McCluskey
Title
Ceo/Member
Phone
(706) 322-7762

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Clinical Electrophysiology Physical Therapist 2251E1300X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Physical Therapy Clinic/Center 261QP2000X NU

Addresses

Primary practice location

6298 Veterans Pkwy Ste 5a
Columbus, GA 31909-6245

Mailing address

PO Box 8068
Columbus, GA 31908-8068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210310002659 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3870908130 Receives reassigned benefits from 54 practitioners
1 other NPI on this enrollment
Practice locations: Athens, GA; Columbus, GA; Conyers, GA; Hampton, GA; Stockbridge, GA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Human Performance and Rehabilitation Centers6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1883 McDonough Rd
Bldg 200
Lovejoy, GA 30228

1883 McDonough Rd
Ste C
Lovejoy, GA 30228
Phone (760) 219-4631

Practitioners & affiliated clinicians

Practitioners 65

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 65

NPI Registry JSON

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1104415983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8068",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319088068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6298 VETERANS PKWY STE 5A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319096245",
            "telephone_number": "706-322-7762",
            "fax_number": "706-327-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN PERFORMANCE AND REHABILITATION CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "MCCLUSKEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO/MEMBER",
        "authorized_official_telephone_number": "706-322-7762"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.