Active NPI
Gotherex USA, LLC
- Physical Therapist
- Buford, GA
National Provider Identifier
1306462825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Reuschle, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Server | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapist
- Buford, GA
- NPI 1962000257
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.