Total Body Wellness Pro

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

TOTAL BODY WELLNESS PRO

Practice address

2121 Fountain Dr Ste I
Snellville, GA 30078-2900

Phone

(678) 821-2810

Fax

(678) 894-0342

NPI assigned

Mar 15, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Betsy Robinson, LPN

Title

Owner

Phone

(470) 812-7773

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ray Isinga Mirembo

  • Psychiatry Physician
  • Lexington, KY
  • NPI 1023690260
  NPD
• Lindsey Klein, PTA

  • Physical Therapy Assistant
  • Conyers, GA
  • NPI 1184292013
  NPD (past)

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1194228213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 JONESBORO RD STE 188",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302362468",
            "telephone_number": "678-899-6833",
            "fax_number": "678-904-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 FOUNTAIN DR STE I",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782900",
            "telephone_number": "678-821-2810",
            "fax_number": "678-894-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL BODY WELLNESS PRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "BETSY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-812-7773",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tisha V Tipnis, MD
• John Adam Titak, PHARMD
• Dorothy Elizabeth Todd, RN
• Lisa M Todman, RHIT
• Racquel Toomer, GNP
• Total Support LLC
• Toussaint Corporation
• Isabelle Toussaint, RBT
• Towers Personal Home Care
• Tiffany Townsend, LMSW

• All providers in Snellville, GA
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.