NPIMap

Organization Active NPI

Pro-One Physical Therapy Services LLC

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1114217973
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PRO-ONE PHYSICAL THERAPY SERVICES LLC
Practice address
1702 Porter Dr NW
Atlanta, GA 30314-2118
Phone
(404) 454-4556
NPI assigned
Apr 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Angela Brown
Title
Member
Phone
(404) 454-4556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1702 Porter Dr NW
Atlanta, GA 30314-2118

Mailing address

1702 Porter Dr NW
Atlanta, GA 30314-2118
Phone (404) 454-4556

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1114217973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 PORTER DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303142118",
            "telephone_number": "404-454-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 PORTER DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303142118",
            "telephone_number": "404-454-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-ONE PHYSICAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "404-454-4556"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 13, 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.