Healthcore Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009250 Issued in GA

Legal business name

HEALTHCORE PHYSICAL THERAPY, LLC

Doing business as

Physical Therapy at The Core

Practice address

12030 Etris Rd
Suite 220
Roswell, GA 30075-1402

Phone

(770) 998-6411

Fax

(770) 998-6433

NPI assigned

May 24, 2010

Organization subpart

No

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

Authorized official

Name

Michelle Hamby, PT

Title

Owner/Physical Therapist

Phone

(937) 763-7131

Specialties & licenses 1

Addresses

Other names 1

• Physical Therapy at The Core Doing business as

Locations

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1164741542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12030 ETRIS RD",
            "address_2": "SUITE 220",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751402",
            "telephone_number": "770-998-6411",
            "fax_number": "770-998-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12030 ETRIS RD",
            "address_2": "SUITE 220",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751402",
            "telephone_number": "770-998-6411",
            "fax_number": "770-998-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCORE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "HAMBY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "937-763-7131",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy at The Core",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.