Organization Active NPI

Reclaim Physical Therapy, LLC

  • Physical Therapist
  • Canton, GA
National Provider Identifier
1215562178
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RECLAIM PHYSICAL THERAPY, LLC
Practice address
1016 Lower Union Hill Rd
Canton, GA 30115-8419
Phone
(630) 842-0515
NPI assigned
Mar 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Aaron Gray, DPT
Title
Co-Founder, Owner
Phone
(630) 842-0515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1016 Lower Union Hill Rd
Canton, GA 30115-8419

Mailing address

1016 Lower Union Hill Rd
Canton, GA 30115-8419
Phone (630) 842-0515

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1215562178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 LOWER UNION HILL RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158419",
            "telephone_number": "630-842-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 LOWER UNION HILL RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158419",
            "telephone_number": "630-842-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECLAIM PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CO-FOUNDER, OWNER",
        "authorized_official_telephone_number": "630-842-0515",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.