Active NPI
Radiant Axis Ventures LLC
- Physical Medicine & Rehabilitation Physician
- Cumming, GA
National Provider Identifier
1235095696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Johns Creek, GA
- NPI 1376111252
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.