A Step Ahead Physical Therapy, LLC
Organization Active NPI Physical Therapy Clinic/Center · Roswell, GA
NPI 1194875500 · NPPES record last updated Aug 22, 2024
Key facts
- NPI
- 1194875500
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- PT2661 (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
- Organization subpart
- No
Authorized official
- Name
- Mr. Brad S Freemyer, PT
- Title
- Sole Member
- Phone
- (770) 998-6636
Practitioners 15
-
Mark Greenspan, MSPT
-
Matthew Jacobson, PT, DPT, ATC
-
James Clark Connelly, PT, DPT
-
Robert Kent Osborn, PT MTC
-
Brendan Thomas Glackin, DPT, OCS
-
Katy Lawlor Shumbo, PT, DPT, OCS, ATC
-
Adrianne Hays, P.T.
-
Pamela Stradley White, P.T.
-
Joel Beary, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071128000748 | GA | Part B Supplier - Clinic/Group Practice | 0941399968 |
Receives reassigned benefits from 10 practitioners Practice locations: Roswell, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | PT2661 | GA | Yes |
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
- Propel Physical Therapy - Cumming, LLC
Other providers in Roswell, GA
- 4Growth Counseling and Wellness
- 99 Minute Clinic LLC
- A Better Caregiver at Home, LLC
- A L Gordon Care Group LLC
- A One Home Care, Inc.
- A-Z Therapy Inc.
- A1 Active Care
- Aajo Healthcare
- Mitchell John Aarons
- Richard S. Abbott
All providers in Roswell, GA · Physical Therapy Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.