NPIMap

Organization Active NPI

Saerom Physical Therapy

  • Registered Dietitian
  • Johns Creek, GA
National Provider Identifier
1194190686
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD002682 Issued in GA
Legal business name
SAEROM PHYSICAL THERAPY
Practice address
6955 McGinnis Ferry Rd Ste 112
Johns Creek, GA 30097-3521
Phone
(678) 335-5566
Fax
(678) 335-5567
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Connie Jeon, DPT, MPH
Title
Ceo
Phone
(678) 557-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X LD002682 GA Primary

Addresses

Primary practice location

6955 McGinnis Ferry Rd Ste 112
Johns Creek, GA 30097-3521

Mailing address

6955 McGinnis Ferry Rd Ste 112
Johns Creek, GA 30097-3521
Phone (678) 335-5566

Other names 1

  • Alkaline Wellness Center Doing business as

National Provider Directory

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": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1194190686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 MCGINNIS FERRY RD STE 112",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973521",
            "telephone_number": "678-335-5566",
            "fax_number": "678-335-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6955 MCGINNIS FERRY RD STE 112",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973521",
            "telephone_number": "678-335-5566",
            "fax_number": "678-335-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAEROM PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "JEON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-557-0600",
        "authorized_official_credential": "DPT, MPH"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD002682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alkaline Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.