Organization Active NPI

Integrated Therapy LLC

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1326247248
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
082388LG8 Issued in GA
Legal business name
INTEGRATED THERAPY LLC
Practice address
2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309-1148
Phone
(404) 351-5307
Fax
(404) 351-5308
NPI assigned
Jul 11, 2007
Last updated
Mar 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Authorized official

Name
Ms. Harriet Adams
Title
President
Phone
(404) 351-5307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 082388LG8 GA Primary

Addresses

Primary practice location

2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309-1148

Mailing address

2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309-1148
Phone (404) 351-5307

Other identifiers 1

IdentifierTypeStateIssuer
GRP3723OtherGAMEDICARE GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040422000993 GA Part B Supplier - Clinic/Group Practice 1153317300 Receives reassigned benefits from 54 practitioners
Practice locations: Johns Creek, GA; Kennesaw, GA; Kingsland, GA; Lawrenceville, GA; Marietta, GA; Monroe, GA; Holly Springs, GA; Roswell, GA…
O20150109002041 NC Part B Supplier - Clinic/Group Practice 1153317300 Receives reassigned benefits from 32 practitioners
Practice locations: Cornelius, NC; Greensboro, NC; Huntersville, NC; Kernersville, NC; Matthews, NC; Monroe, NC; Mooresville, NC; Morrisville, NC…

National Provider Directory

National Provider Directory

Locations (25 of 54)

1020 Chestnut Hill Rd
Athens, GA 30606

562 Research Dr
Athens, GA 30605

915 Hawthorne Ave
Athens, GA 30606

2153A Briarcliff Rd NE
Atlanta, GA 30329

2260 Marietta Blvd NW
Apt 104
Atlanta, GA 30318

2859 Paces Ferry Rd SE
Ste 200
Atlanta, GA 30339

3353 Peachtree Rd NE
Ste T01
Atlanta, GA 30326
Phone (404) 285-6200

5396 Lanier Islands Pkwy
Buford, GA 30518

355 S River St
Calhoun, GA 30701

4255 Will Lee Rd
College Park, GA 30349

201 Aquatic Cir
Cumming, GA 30040

2340 Clifton Springs Rd
Decatur, GA 30034

450 E Lake Dr
Decatur, GA 30030

3020 Chapel Hill Rd
Douglasville, GA 30135

9375 The Landing Dr
Ste G190
Douglasville, GA 30135

5342 Tilly Mill Rd
Dunwoody, GA 30338
Phone (678) 812-4031

803 Forest Pkwy
Forest Park, GA 30297
Phone (786) 512-9822

1200 Wellstar Way
Holly Springs, GA 30114

11555 Johns Creek Pkwy
Johns Creek, GA 30097
Phone (770) 495-7800

9045 Tara Blvd
Jonesboro, GA 30236
Phone (912) 490-7777

2655 Cobb Pkwy NW
Kennesaw, GA 30152

1319 E King Ave
Kingsland, GA 31548

1823 N Brown Rd
Lawrenceville, GA 30043

1055 E Piedmont Rd
Marietta, GA 30062

1255 Johnson Ferry Rd
Ste 30
Marietta, GA 30068

Practitioners & affiliated clinicians

Practitioners 118

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 118

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1326247248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 PEACHTREE RD NE",
            "address_2": "STE D336",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091148",
            "telephone_number": "404-351-5307",
            "fax_number": "404-351-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 PEACHTREE RD NE",
            "address_2": "STE D336",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091148",
            "telephone_number": "404-351-5307",
            "fax_number": "404-351-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "HARRIET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-351-5307",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "082388LG8",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP3723",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.

Verify at the official NPI Registry.