Organization Active NPI

Gotherex USA, LLC

  • Physical Therapist
  • Buford, GA
National Provider Identifier
1306462825
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GOTHEREX USA, LLC
Practice address
2411 Lance Ridge Way
Buford, GA 30519-7999
Phone
(770) 324-3726
NPI assigned
Jun 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Authorized official

Name
Dr. Matthew Reuschle, DPTNPI 1962000257
Title
Ceo
Phone
(770) 324-3726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2411 Lance Ridge Way
Buford, GA 30519-7999

Mailing address

2700 Braselton Hwy Ste 10-405
Dacula, GA 30019-3262
Phone (770) 324-3726

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Server Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

2700 Braselton Hwy
Ste 10405
Dacula, GA 30019

Practitioners & affiliated clinicians

Practitioners 1

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": "1592611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1306462825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 BRASELTON HWY STE 10-405",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300193262",
            "telephone_number": "770-324-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 LANCE RIDGE WAY",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305197999",
            "telephone_number": "770-324-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTHEREX USA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-20",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "REUSCHLE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-324-3726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Server",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2411 Lance Ridge Way",
            "city": "Buford",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305197999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.