Organization Active NPI

Fisioguides LLC

  • Physical Therapist
  • Cumming, GA
National Provider Identifier
1225848518
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FISIOGUIDES LLC
Practice address
2870 Ronald Reagan Blvd Ste 102
Cumming, GA 30041-6092
Phone
(470) 297-9596
NPI assigned
Jan 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Meenu MehtaNPI 1922609676
Title
Owner
Phone
(470) 297-9596

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2870 Ronald Reagan Blvd Ste 102
Cumming, GA 30041-6092

Mailing address

2870 Ronald Reagan Blvd Ste 102
Cumming, GA 30041-6092
Phone (470) 297-9596

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250227002726 GA Part B Supplier - Clinic/Group Practice 9133649536 Receives reassigned benefits from 1 practitioner
Practice locations: Cumming, GA

National Provider Directory

National Provider Directory

Locations

2870 Ronald Reagan Blvd
Ste 102
Cumming, GA 30041
Phone (470) 297-9596

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": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1225848518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 RONALD REAGAN BLVD STE 102",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416092",
            "telephone_number": "470-297-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 RONALD REAGAN BLVD STE 102",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416092",
            "telephone_number": "470-297-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISIOGUIDES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "MEENU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-297-9596"
    },
    "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 Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.