Active NPI
Angelo J Rizzo, PT
- Physical Therapist
- Conyers, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT001083
- Practice address
- 1157B West Ave SW
Conyers, GA 30012-5280 - Phone
- (770) 922-2420
- Fax
- (770) 922-1096
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | PT001083 | GA | |
| Sports Physical Therapist | 2251S0007X | PT001083 | GA | |
| Orthopedic Physical Therapist | 2251X0800X | PT001083 | GA | |
| Physical Therapist | 225100000X | PT001083 | GA | Primary |
Addresses
Primary practice location
1157B West Ave SW
Conyers, GA 30012-5280
Mailing address
1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (572) 084-7317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 460381266A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT001083 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Performance and Rehabilitation Centers LLC | Current | Accepting new patients | |
| Human Performance and Rehabilitation Centers, LLC | Physical Therapist | Current | Accepting new patients |
| Human Performance and Rehabilitation Centers, LLC | Physical Therapist | Past | Accepting new patients |
| Therapeutic Solutions, Inc | Physical Therapist | Past | Accepting new patients |
Locations
788 Prince Ave
Ste C
Athens, GA 30606
Phone (706) 453-2111
6298 Veterans Pkwy
Ste 5A
Columbus, GA 31909
Phone (706) 320-0927
1157 West Ave SW
#B
Conyers, GA 30012
Phone (770) 922-2120
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Columbus, GA
- NPI 1104415983
-
- Orthopedic Physical Therapist
- Conyers, GA
- NPI 1962505743
-
- Durable Medical Equipment & Medical Supplies
- Columbus, GA
- NPI 1891583654
-
- Physical Therapy Clinic/Center
- Auburn, AL
- NPI 1720677503
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1316163975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 LYNDON FARM CT STE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402235005",
"telephone_number": "572-084-7317",
"fax_number": "757-809-2370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1157B WEST AVE SW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300125280",
"telephone_number": "770-922-2420",
"fax_number": "770-922-1096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIZZO",
"first_name": "ANGELO",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "GA",
"license": "PT001083",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "GA",
"license": "PT001083",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "GA",
"license": "PT001083",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT001083",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "460381266A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.