NPIMap

Organization Active NPI

Accel Physical Therapy Inc

  • Physical Therapist
  • Villa Rica, GA
National Provider Identifier
1184827495
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACCEL PHYSICAL THERAPY INC
Practice address
2000 Mirror Lake Blvd
Suite S
Villa Rica, GA 30180-2124
Phone
(770) 456-7877
Fax
(770) 456-7880
NPI assigned
Jun 6, 2007
Last updated
Aug 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Eric L Morante, PTNPI 1558329714
Title
Owner
Phone
(770) 456-7877

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 Therapist 225100000X Primary

Addresses

Primary practice location

2000 Mirror Lake Blvd
Suite S
Villa Rica, GA 30180-2124

Mailing address

2000 Mirror Lake Blvd
Suites
Villa Rica, GA 30180-2124
Phone (770) 456-7877

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070719000571 GA Part B Supplier - Clinic/Group Practice 8921109067 Receives reassigned benefits from 10 practitioners
Practice locations: Carrollton, GA; Dallas, GA; Douglasville, GA; Villa Rica, GA

National Provider Directory

National Provider Directory

Locations

120 Cunningham Dr
Ste F
Carrollton, GA 30117
Phone (678) 664-1467

500 Nathan Dean Blvd
Ste 108
Dallas, GA 30157
Phone (678) 402-7770

2983 Chapel Hill Rd
Ste 106
Douglasville, GA 30135
Phone (770) 947-8177

2000 Mirror Lake Blvd
Ste F
Villa Rica, GA 30180

2000 Mirror Lake Blvd
Ste S
Villa Rica, GA 30180
Phone (404) 667-5001

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1184827495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MIRROR LAKE BLVD",
            "address_2": "SUITES",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301802124",
            "telephone_number": "770-456-7877",
            "fax_number": "770-456-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MIRROR LAKE BLVD",
            "address_2": "SUITE S",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301802124",
            "telephone_number": "770-456-7877",
            "fax_number": "770-456-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCEL PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "MORANTE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-456-7877",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.