Organization Active NPI

Results Rehab LLC

  • Physical Therapist
  • Roswell, GA
National Provider Identifier
1164096475
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RESULTS REHAB LLC
Practice address
2300 Holcomb Bridge Rd Ste 114
Roswell, GA 30076-3481
Phone
(470) 207-4429
NPI assigned
May 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Authorized official

Name
James ConnellyNPI 1902321763
Title
Owner
Phone
(470) 207-4429

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2300 Holcomb Bridge Rd Ste 114
Roswell, GA 30076-3481

Mailing address

2300 Holcomb Bridge Rd Ste 114
Roswell, GA 30076-3481

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210628000019 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0446651525 Receives reassigned benefits from 3 practitioners
Practice locations: Roswell, GA

National Provider Directory

National Provider Directory

Locations

2300 Holcomb Bridge Rd
Ste 114
Roswell, GA 30076
Phone (470) 207-4429

Practitioners & affiliated clinicians

Practitioners 3

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": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1164096475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HOLCOMB BRIDGE RD STE 114",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HOLCOMB BRIDGE RD STE 114",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763481",
            "telephone_number": "470-207-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESULTS REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "CONNELLY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-207-4429"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.