NPIMap

Organization Active NPI

Extendworks, Inc.

  • Physical Therapy Clinic/Center
  • Norcross, GA
National Provider Identifier
1285074245
Registry record updated Jul 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
2981 Issued in GA
Legal business name
EXTENDWORKS, INC.
Practice address
3300 Holcomb Bridge Rd
Norcross, GA 30092-5404
Phone
(770) 449-5161
NPI assigned
Jul 4, 2013
Last updated
Jul 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2013

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

Authorized official

Name
Steve Chris Scott, P.T., A.T., C.NPI 1811939028
Title
President
Phone
(404) 245-2950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 2981 GA Primary

Addresses

Primary practice location

3300 Holcomb Bridge Rd
Norcross, GA 30092-5404

Mailing address

1138 Briarcliff Rd NE
Atlanta, GA 30306-2604

National Provider Directory

National Provider Directory

Locations

3300 Holcomb Bridge Rd
Norcross, GA 30092
Phone (770) 449-5161

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1372896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372896000000",
    "number": "1285074245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 BRIARCLIFF RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303062604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 HOLCOMB BRIDGE RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300925404",
            "telephone_number": "770-449-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDWORKS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-04",
        "last_updated": "2013-07-04",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "CHRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-245-2950",
        "authorized_official_credential": "P.T., A.T., C."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "2981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2013; 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.