Organization Active NPI

Discover Health & Wellness Services, LLC

  • Physical Therapy Clinic/Center
  • Atlanta, GA
National Provider Identifier
1114221264
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT8561 Issued in GA
Legal business name
DISCOVER HEALTH & WELLNESS SERVICES, LLC
Practice address
644 Wells St SW Unit 5
Atlanta, GA 30310-2066
Phone
(404) 474-3211
Fax
(678) 528-5023
NPI assigned
Jan 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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

Authorized official

Name
Bryan M Russell, D.P.T.NPI 1497840219
Title
Owner/Physical Therapist
Phone
(404) 474-3211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT8561 GA Primary
Durable Medical Equipment & Medical Supplies 332B00000X PT8561 GA

Addresses

Primary practice location

644 Wells St SW Unit 5
Atlanta, GA 30310-2066

Mailing address

644 Wells St SW Unit 5
Atlanta, GA 30310-2066
Phone (404) 474-3211

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1114221264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 WELLS ST SW UNIT 5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303102066",
            "telephone_number": "404-474-3211",
            "fax_number": "678-528-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 WELLS ST SW UNIT 5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303102066",
            "telephone_number": "404-474-3211",
            "fax_number": "678-528-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER HEALTH & WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "404-474-3211",
        "authorized_official_credential": "D.P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT8561",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "PT8561",
            "primary": false
        }
    ],
    "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 Jan 4, 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.