NPIMap

Organization Active NPI

Neurosport Physical Therapy@Ellard LLC.

  • Physical Therapist
  • Alpharetta, GA
National Provider Identifier
1295909596
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003709 Issued in GA
Legal business name
NEUROSPORT PHYSICAL THERAPY@ELLARD LLC.
Practice address
8400 Holcomb Bridge Rd
Suite 480
Alpharetta, GA 30022-1837
Phone
(770) 640-5470
Fax
(770) 640-5471
NPI assigned
Apr 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
Miss Moriah Morgan
Title
Regional Office Manager
Phone
(770) 321-0155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 003709 GA Primary

Addresses

Primary practice location

8400 Holcomb Bridge Rd
Suite 480
Alpharetta, GA 30022-1837

Mailing address

8400 Holcomb Bridge Rd
Suite 480
Alpharetta, GA 30022-1837
Phone (770) 640-5470

National Provider Directory

National Provider Directory

Locations

8400 Holcomb Bridge Rd
Ste 480
Alpharetta, GA 30022
Phone (770) 640-5470

Practitioners & affiliated clinicians

Practitioners 3

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": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1295909596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 480",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221837",
            "telephone_number": "770-640-5470",
            "fax_number": "770-640-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 480",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221837",
            "telephone_number": "770-640-5470",
            "fax_number": "770-640-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSPORT PHYSICAL THERAPY@ELLARD LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "MORIAH",
        "authorized_official_title_or_position": "REGIONAL OFFICE MANAGER",
        "authorized_official_telephone_number": "770-321-0155",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "003709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.