Organization Active NPI

Radiant Axis Ventures LLC

  • Physical Medicine & Rehabilitation Physician
  • Cumming, GA
National Provider Identifier
1235095696
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
RADIANT AXIS VENTURES LLC
Practice address
5456 Bethelview Rd Ste 105
Cumming, GA 30040-8612
Phone
(470) 835-6433
Fax
(855) 237-6399
NPI assigned
Dec 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Authorized official

Name
Joshua Backing
Title
Owner
Phone
(470) 835-6433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

5456 Bethelview Rd Ste 105
Cumming, GA 30040-8612

Mailing address

5456 Bethelview Rd Ste 105
Cumming, GA 30040-8612
Phone (470) 835-6433

Other names 1

  • FYZICAL Therapy and Balance Centers Bethelview Cumming Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260625003426 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9931672417 Receives reassigned benefits from 1 practitioner
Practice locations: Cumming, GA

National Provider Directory

National Provider Directory

Locations

5456 Bethelview Rd
Ste 105
Cumming, GA 30040
Phone (470) 835-6433

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": "1767052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771459200000",
    "number": "1235095696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5456 BETHELVIEW RD STE 105",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408612",
            "telephone_number": "470-835-6433",
            "fax_number": "855-237-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5456 BETHELVIEW RD STE 105",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408612",
            "telephone_number": "470-835-6433",
            "fax_number": "855-237-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT AXIS VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-30",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A",
        "authorized_official_last_name": "BACKING",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-835-6433"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy and Balance Centers Bethelview Cumming",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 19, 2026; 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.