Pro Performance Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007576 Issued in GA

Legal business name

PRO PERFORMANCE THERAPY, LLC

Practice address

4343 Shallowford Rd Ste 630
Marietta, GA 30062-5080

Phone

(770) 449-5152

Fax

(866) 821-7683

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Amanda Stillings

Title

Director of Operations

Phone

(770) 449-5152

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Kathleen Dobbs, PT, DPT

  • Pediatric Physical Therapist
  • Marietta, GA
  • NPI 1629717343
  Medicare reassignment Care Compare group NPD
• Jacob Irwin, PT

  • Physical Therapist
  • Marietta, GA
  • NPI 1003985797
  Medicare reassignment Care Compare group NPD
• Mark Evan Ogletree, PT, DPT

  • Physical Therapist
  • Kennesaw, GA
  • NPI 1568154854
  Medicare reassignment Care Compare group NPD
• David Paul Smelser, PT, DPT

  • Physical Therapist
  • Roswell, GA
  • NPI 1720535487
  Medicare reassignment Care Compare group NPD
• Joseph Ronald Gross, PT, DPT

  • Physical Therapist
  • Daphne, AL
  • NPI 1073966271

  GA

  Medicare reassignment NPD
• Jaclyn Hill, DPT

  • Physical Therapist
  • Atlanta, GA
  • NPI 1528807104
  Medicare reassignment
• Lauren Rebecca Johnson, P.T., D.P.T

  • Physical Therapist
  • Alpharetta, GA
  • NPI 1235452749
  NPD (past)
• Corey Williman McTeer, DPT

  • Physical Therapist
  • Monroe, GA
  • NPI 1083967830
  NPD (past)
• Hannah Sandstrom

  • Physical Therapist
  • Tucker, GA
  • NPI 1356270425
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1326265877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 SHALLOWFORD RD STE 630",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625080",
            "telephone_number": "770-449-5152",
            "fax_number": "866-821-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 SHALLOWFORD RD STE 630",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625080",
            "telephone_number": "770-449-5152",
            "fax_number": "866-821-7683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4343 Shallowford Rd Ste G3",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300625021",
            "country_code": "US",
            "telephone_number": "770-449-5152",
            "fax_number": "866-821-7683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRO PERFORMANCE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "STILLINGS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "770-449-5152"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://properformancetherapy.com/contact/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4343 Shallowford Rd Ste 630",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300625080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Kennedy Pritchett, M.A., L.P.C.
• Stacy M Pritchett, HAD
• Private Home Assistance of Georgia, Inc.
• Pro Health and Rehab LLC
• Pro Healthcare of Marietta, LLC
• Pro- Holism Professional Corporation
• Proactive Physicians of Marietta, PC
• Melissa Joy Probst, APRN
• Procare Medical Group, LLC
• Marie-Therese N Proctor, PHARMD

• Physical Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.