Ortho Kinetic Spine and Rehab, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ORTHO KINETIC SPINE AND REHAB, LLC

Practice address

2000 Powers Ferry Rd SE Ste 2206
Marietta, GA 30067-1203

Phone

(470) 394-0111

Fax

(470) 443-1707

NPI assigned

Jul 29, 2022

Organization subpart

No

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

Authorized official

Name

Akiliah Johnson, DC

Title

Owner

Phone

(202) 277-2255

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1104552272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 WATERBURY CLOSE",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301274942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 POWERS FERRY RD SE STE 2206",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300671203",
            "telephone_number": "470-394-0111",
            "fax_number": "470-443-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHO KINETIC SPINE AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AKILIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-277-2255",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Lashay Orr
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• Emily Ortega, RBT
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• Multi-Specialty Clinic/Center in Marietta, GA
• Providers in Marietta, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.