Active NPI
Venture Physical Therapy of Marietta LLC
- Physical Therapist
- Marietta, GA
National Provider Identifier
1346747706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- VENTURE PHYSICAL THERAPY OF MARIETTA LLC
- Practice address
- 335 Roselane St NW Ste 201
Marietta, GA 30060-7902 - Phone
- (770) 424-6787
- Fax
- (770) 426-7925
- NPI assigned
- Apr 11, 2018
- Organization subpart
- Yes
- Parent organization
- THERAPY PARTNER SOLUTIONS - OP LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Samuel Lee Echols
- Title
- Partner & Coo
- Phone
- (706) 346-6035
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
335 Roselane St NW Ste 201
Marietta, GA 30060-7902
Mailing address
PO Box 1975
Rome, GA 30162-1975
Phone (706) 204-8548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180719002701 | GA | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7810244969 |
Receives reassigned benefits from 4 practitioners Practice locations: Marietta, GA |
National Provider Directory
National Provider DirectoryLocations
631 Campbell Hill St NW
Ste 200
Marietta, GA 30060
Phone (770) 424-6787
335 Roselane St NW
Ste 200
Marietta, GA 30060
Phone (770) 424-6787
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Atlanta, GA
- NPI 1215992136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701216000000",
"number": "1346747706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1975",
"city": "ROME",
"state": "GA",
"postal_code": "301621975",
"telephone_number": "706-204-8548",
"fax_number": "866-858-7371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 ROSELANE ST NW STE 201",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300607902",
"telephone_number": "770-424-6787",
"fax_number": "770-426-7925"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VENTURE PHYSICAL THERAPY OF MARIETTA LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THERAPY PARTNER SOLUTIONS - OP LLC",
"enumeration_date": "2018-04-11",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A",
"authorized_official_last_name": "ECHOLS",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PARTNER & COO",
"authorized_official_telephone_number": "706-346-6035",
"authorized_official_name_prefix": "Mr."
},
"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 Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.