Drive Physical Therapy and Performance LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DRIVE PHYSICAL THERAPY AND PERFORMANCE LLC

Practice address

700 Holcomb Bridge Rd Ste 200
Roswell, GA 30076-1630

Phone

(845) 772-1374

NPI assigned

Oct 29, 2019

Organization subpart

No

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

Authorized official

Name

Andrew Zis, P.T, DPTNPI 1831625359

Title

Owner/Founder

Phone

(845) 772-1374

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

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

• Andrew Zis

  • Physical Therapist
  • Roswell, GA
  • NPI 1831625359
  NPD Authorized official

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1114561636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 MILLSTONE WAY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301157270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HOLCOMB BRIDGE RD STE 200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761630",
            "telephone_number": "845-772-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIVE PHYSICAL THERAPY AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "ZIS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "845-772-1374",
        "authorized_official_credential": "P.T, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE AFFILIATED",
            "identifier": "1831625359",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew_zis@driveptandperform.com",
            "affiliation": "N",
            "endpointDescription": "Company Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "700 Holcomb Bridge Rd Ste 200",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300761630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kailen Denisia Drayer, OTR
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• Jeffry Dressander, MD
• Elisabeth Drevet
• Clarkson M Driggers, MD
• DRS Burns and Krutul Inc (family chiropractic)
• Howard Drutman, PH.D.
• Tianlong Du
• Duane Farmer P.C.
• Kayla Miller Duddleston, PT, DPT

• Physical Therapy Clinic/Center in Roswell, GA
• Providers in Roswell, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2019; 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.