NPIMap

Organization Active NPI

Rehab Diagnostic Services

  • Chiropractor
  • Atlanta, GA
National Provider Identifier
1336266527
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR007429 Issued in GA
Legal business name
REHAB DIAGNOSTIC SERVICES
Practice address
859 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1807
Phone
(404) 756-6388
Fax
(404) 756-6390
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Matthew T Stone, D.C.
Title
Chiropractic
Phone
(404) 756-6388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR007429 GA Primary

Addresses

Primary practice location

859 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1807

Mailing address

PO Box 1645
Norcross, GA 30091-1645
Phone (770) 409-0450

National Provider Directory

National Provider Directory

Locations

859 Ralph David Abernathy Blvd SW
Atlanta, GA 30310
Phone (404) 756-6388

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336266527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1645",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300911645",
            "telephone_number": "770-409-0450",
            "fax_number": "770-409-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 RALPH DAVID ABERNATHY BLVD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101807",
            "telephone_number": "404-756-6388",
            "fax_number": "404-756-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIROPRACTIC",
        "authorized_official_telephone_number": "404-756-6388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007429",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 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.