Organization Active NPI

Dove Rehab, LLC

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1346581915
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DOVE REHAB, LLC
Practice address
2848 Lenox Rd NE
Atlanta, GA 30324-6004
Phone
(678) 249-7120
Fax
(770) 485-7173
NPI assigned
Mar 7, 2013
Last updated
Mar 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Mr. Martin H Duke, PTNPI 1508061094
Title
PT/Owner
Phone
(678) 249-7120

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

2848 Lenox Rd NE
Atlanta, GA 30324-6004

Mailing address

PO Box 674021
Marietta, GA 30006-0068
Phone (678) 249-7120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130605000387 GA Part B Supplier - Clinic/Group Practice 5395983290 Receives reassigned benefits from 4 practitioners
Practice locations: Austell, GA; Marietta, GA

National Provider Directory

National Provider Directory

Locations

4455 Lower Roswell Rd
Unit 683641
Marietta, GA 30068

9 Sherwood Ln SE
Marietta, GA 30067
Phone (404) 642-5497

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1346581915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674021",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300060068",
            "telephone_number": "678-249-7120",
            "fax_number": "770-485-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 LENOX RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303246004",
            "telephone_number": "678-249-7120",
            "fax_number": "770-485-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "678-249-7120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 Mar 7, 2013; 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.