Atlanta Pelvic & Orthopedic Rehab Center, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT007193 Issued in GA

Legal business name

ATLANTA PELVIC & ORTHOPEDIC REHAB CENTER, LLC

Practice address

2591 Piedmont Rd NE Ste 104
Atlanta, GA 30324-6281

Phone

(404) 935-9000

Fax

(404) 935-9009

NPI assigned

Mar 23, 2012

Last updated

Jul 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olabisi Jarrett Brown, PT, DPTNPI 1306111232

Title

Owner

Phone

(404) 935-9000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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.

• Olabisi Jarrett Brown, DPT, BCB-PMD

  • Physical Therapist
  • Atlanta, GA
  • NPI 1306111232
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1205102282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2591 PIEDMONT RD NE STE 104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303246281",
            "telephone_number": "404-935-9000",
            "fax_number": "404-935-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 PIEDMONT RD NE STE 104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303246281",
            "telephone_number": "404-935-9000",
            "fax_number": "404-935-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA PELVIC & ORTHOPEDIC REHAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "OLABISI",
        "authorized_official_middle_name": "JARRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-935-9000",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT007193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.