NPIMap

Organization Active NPI

A Step Ahead Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Roswell, GA
National Provider Identifier
1194875500
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT2661 Issued in GA
Legal business name
A STEP AHEAD PHYSICAL THERAPY, LLC
Practice address
930 Woodstock Rd
Suite 310
Roswell, GA 30075-2220
Phone
(770) 998-6636
Fax
(770) 998-6646
NPI assigned
Jan 11, 2007
Last updated
Aug 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Mr. Brad S Freemyer, PTNPI 1336196948
Title
Sole Member
Phone
(770) 998-6636

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 Therapy Clinic/Center 261QP2000X PT2661 GA Primary

Addresses

Primary practice location

930 Woodstock Rd
Suite 310
Roswell, GA 30075-2220

Mailing address

930 Woodstock Rd
Suite 310
Roswell, GA 30075-2220
Phone (770) 998-6636

Other names 1

  • Propel Physical Therapy - Cumming, LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071128000748 GA Part B Supplier - Clinic/Group Practice 0941399968 Receives reassigned benefits from 10 practitioners
Practice locations: Roswell, GA

National Provider Directory

National Provider Directory

Locations

930 Woodstock Rd
Ste 310
Roswell, GA 30075
Phone (770) 998-6636

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1194875500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 WOODSTOCK RD",
            "address_2": "SUITE 310",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752220",
            "telephone_number": "770-998-6636",
            "fax_number": "770-998-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 WOODSTOCK RD",
            "address_2": "SUITE 310",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752220",
            "telephone_number": "770-998-6636",
            "fax_number": "770-998-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A STEP AHEAD PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEMYER",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "770-998-6636",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT2661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Propel Physical Therapy - Cumming, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 22, 2024; 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.