Organization Active NPI

Georgia Rehabilitation Center Inc

  • Physical Therapy Clinic/Center
  • Fayetteville, GA
National Provider Identifier
1306010152
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
GEORGIA REHABILITATION CENTER INC
Practice address
101 Yorktown Dr
Suite 211
Fayetteville, GA 30214-1568
Phone
(770) 460-4054
Fax
(770) 460-4040
NPI assigned
Apr 14, 2008
Last updated
May 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Russell A Foley
Title
President
Phone
(770) 254-7851

Specialties & licenses 1

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

Addresses

Primary practice location

101 Yorktown Dr
Suite 211
Fayetteville, GA 30214-1568

Mailing address

3150 Highway 34 E
Pmb140
Newnan, GA 30265-2122
Phone (770) 251-2060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1306010152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 HIGHWAY 34 E",
            "address_2": "PMB140",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652122",
            "telephone_number": "770-251-2060",
            "fax_number": "770-251-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 YORKTOWN DR",
            "address_2": "SUITE 211",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141568",
            "telephone_number": "770-460-4054",
            "fax_number": "770-460-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA REHABILITATION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-254-7851"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; 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.