NPIMap

Organization Active NPI

East Cobb Physical Therapy, LLC

Doing business as FYZICAL Therapy and Balance Centers

  • Physical Therapy Clinic/Center
  • Marietta, GA
National Provider Identifier
1144553488
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT001678 Issued in GA
Legal business name
EAST COBB PHYSICAL THERAPY, LLC
Doing business as
FYZICAL Therapy and Balance Centers
Practice address
1230 Johnson Ferry Road
Suite H10-20
Marietta, GA 30068
Phone
(678) 503-2717
Fax
(678) 503-2827
NPI assigned
Sep 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Authorized official

Name
Mr. James Biga, PT, GCSNPI 1225044357
Title
Ceo/Owner
Phone
(678) 503-2717

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT001678 GA Primary

Addresses

Primary practice location

1230 Johnson Ferry Road
Suite H10-20
Marietta, GA 30068

Mailing address

1230 Johnson Ferry Road
Suite H10-20
Marietta, GA 30068
Phone (770) 973-2207

Other names 1

  • FYZICAL Therapy and Balance Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091231000094 GA Part B Supplier - Clinic/Group Practice 1254472004 Receives reassigned benefits from 2 practitioners
Practice locations: Marietta, GA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
East Cobb Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1144553488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 JOHNSON FERRY ROAD",
            "address_2": "SUITE H10-20",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30068",
            "telephone_number": "770-973-2207",
            "fax_number": "770-973-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 JOHNSON FERRY ROAD",
            "address_2": "SUITE H10-20",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30068",
            "telephone_number": "678-503-2717",
            "fax_number": "678-503-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COBB PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "BIGA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "678-503-2717",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, GCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT001678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy and Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FYZICAL Therapy and Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.