Exos - Athletes Performance Arizona LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EXOS - ATHLETES PERFORMANCE ARIZONA LLC

Practice address

190 Etowah Industrial CT
Canton, GA 30114-8016

Phone

(470) 863-1160

Fax

(470) 863-1161

NPI assigned

Sep 24, 2024

Organization subpart

Yes

Parent organization

ATHLETES' PERFORMANCE, INC.As reported in NPPES

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

Authorized official

Name

James Godin

Title

Director of Physical Therapy

Phone

(813) 486-6847

Specialties & licenses 1

Addresses

Tax ID family

Exos - Athletes Performance Arizona LLC3 organizations share this tax ID, including this one

Part of

Exos Ap Arizona LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Athletes Performance Arizona LLC

  • Registered Dietitian
  • Phoenix, AZ
  • NPI 1881148492
  NPD tax ID
• Exos - Athletes Performance Arizona LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1154483170
  NPD tax ID

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1124845839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 ETOWAH INDUSTRIAL CT",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148016",
            "telephone_number": "470-863-1160",
            "fax_number": "470-863-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 ETOWAH INDUSTRIAL CT",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148016",
            "telephone_number": "470-863-1160",
            "fax_number": "470-863-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXOS - ATHLETES PERFORMANCE ARIZONA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHLETES' PERFORMANCE, INC.",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "GODIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "813-486-6847"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Etowah Eye Clinic, P.C.
• Etowah Regional Medical Services PC
• Cassidy Meghan Evans Windsor, DAT, ATC
• Laura Lovinggood Evans, MSN, NP-C
• Mystical Evans, FNP-C
• Exos Ap Arizona, LLC
• Nnenna Ezeilo, M.D.
• Fairpricemd Inc
• Family First Vision Care Georgia PLLC
• Klaytin Marcus Fann, PT, DPT

• Physical Therapist in Canton, GA
• Providers in Canton, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.