Organization Active NPI

Therapy Medical-Wellness Centers, LLC

  • Physical Therapy Clinic/Center
  • Lawrenceville, GA
National Provider Identifier
1124142013
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT005865 Issued in GA
Legal business name
THERAPY MEDICAL-WELLNESS CENTERS, LLC
Practice address
368 W Pike St
Suite 204
Lawrenceville, GA 30045-3240
Phone
(770) 755-5278
Fax
(770) 755-5682
NPI assigned
Mar 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Aloysius K Kwakumey
Title
Manager - Clinical Director
Phone
(770) 755-5278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT005865 GA Primary

Addresses

Primary practice location

368 W Pike St
Suite 204
Lawrenceville, GA 30045-3240

Mailing address

368 W Pike St
Suite 204
Lawrenceville, GA 30045-3240
Phone (770) 755-5278

National Provider Directory

National Provider Directory

Locations

368 W Pike St
Ste 204A
Lawrenceville, GA 30046
Phone (770) 755-5278

Practitioners & affiliated clinicians

Practitioners 4

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": "1174176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124142013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 W PIKE ST",
            "address_2": "SUITE 204",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453240",
            "telephone_number": "770-755-5278",
            "fax_number": "770-755-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 W PIKE ST",
            "address_2": "SUITE 204",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453240",
            "telephone_number": "770-755-5278",
            "fax_number": "770-755-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY MEDICAL-WELLNESS CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KWAKUMEY",
        "authorized_official_first_name": "ALOYSIUS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER - CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "770-755-5278",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT005865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.