Active NPI
Prevent & Restore Physical Therapy
- Physical Therapy Clinic/Center
- Marietta, GA
National Provider Identifier
1255200416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- PREVENT & RESTORE PHYSICAL THERAPY
- Practice address
- 137 Johnson Ferry Rd Ste 2220
Marietta, GA 30068-4948 - Phone
- (404) 907-2734
- NPI assigned
- Nov 4, 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
- Raymond Alan Waters, PT, DPT, CSCS
- Title
- Owner/Founder
- Phone
- (706) 799-7343
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
137 Johnson Ferry Rd Ste 2220
Marietta, GA 30068-4948
Mailing address
2510 Rolling View Dr SE
Smyrna, GA 30080-2624
Phone (706) 799-7343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
137 Johnson Ferry Rd
Ste 2220
Marietta, GA 30068
Phone (404) 907-2734
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopedic Physical Therapist
- Atlanta, GA
- NPI 1568139558
-
- Physical Therapist
- Marietta, GA
- NPI 1801562186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762214400000",
"number": "1255200416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 ROLLING VIEW DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300802624",
"telephone_number": "706-799-7343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 JOHNSON FERRY RD STE 2220",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684948",
"telephone_number": "404-907-2734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREVENT & RESTORE PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-04",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A",
"authorized_official_last_name": "WATERS",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OWNER/FOUNDER",
"authorized_official_telephone_number": "706-799-7343",
"authorized_official_credential": "PT, DPT, CSCS"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.