Club PT, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CLUB PT, LLC

Doing business as

Club Physical Therapy

Practice address

53 W Brookhaven Dr NE
Brookhaven, GA 30319-1101

Phone

(706) 255-1150

NPI assigned

Jun 13, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Rhett Anthony Roberson, PT, DPT, OCS,FAAOMPTNPI 1336462258

Title

Owner/President

Phone

(706) 255-1150

Specialties & licenses 1

Addresses

Other names 1

• Club Physical Therapy Doing business as

Locations

Practitioners 1

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

• Rhett Anthony Roberson, DPT

  • Physical Therapist
  • Warm Springs, GA
  • NPI 1336462258
  NPD Authorized official

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1255990123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2347 BROOKHURST DR",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386631",
            "telephone_number": "706-255-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W BROOKHAVEN DR NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303191101",
            "telephone_number": "706-255-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLUB PT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "ROBERSON",
        "authorized_official_first_name": "RHETT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "706-255-1150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS,FAAOMPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Club Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Francine De Oliveira Choren, L.AC
• Nafiha Chowdhury
• Christopher Christian, RBT
• Young Il Chung, DO
• Angie Civilus, BA
• Chynna Coasey, RBT
• Coastal Home Care, LLC
• Ruth Ann Cochran, LPC
• Rylee Cochran, RBT
• Robert Martin Cohen, MD

• Physical Therapy Clinic/Center in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.