Active NPI
Georgia Rehabilitation Center Inc
- Physical Therapy Clinic/Center
- Fayetteville, GA
National Provider Identifier
1306010152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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, 2008
- 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
- Russell A Foley
- Title
- President
- Phone
- (770) 254-7851
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Georgia CVS Pharmacy, L.L.C. (CVS Pharmacy #04760)
- Georgia Em-I Medical Services PC
- Georgia in Home Support Services
- Georgia Medical Consultants, P.C. (Fayette Family Medicine)
- Georgia Neurosciences LLC
- Georgia Rehabilitation Center, Inc.
- Georgia Senior Friends LLC
- Georgia Urogynecology, PC
- Georgia Urology Fayette ASC
- Georgia Urology PA
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.