Total Health Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007245 Issued in GA

Legal business name

TOTAL HEALTH PHYSICAL THERAPY LLC

Practice address

4355 Georgetown SQ
Dunwoody, GA 30338-6266

Phone

(770) 285-8908

Fax

(770) 986-6164

NPI assigned

Dec 20, 2017

Last updated

Dec 20, 2017By 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

Susanna Cherukara Stanley, PT

Title

Owner

Phone

(770) 634-4918

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1205342730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 GRANVILLE CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283432",
            "telephone_number": "770-634-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 GEORGETOWN SQ",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386266",
            "telephone_number": "770-285-8908",
            "fax_number": "770-986-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL HEALTH PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "SUSANNA",
        "authorized_official_middle_name": "CHERUKARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-634-4918",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Dunwoody, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.