NPIMap

Organization Active NPI

Venture Physical Therapy of Marietta LLC

  • Physical Therapist
  • Marietta, GA
National Provider Identifier
1346747706
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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
Last updated
Nov 29, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
THERAPY PARTNER SOLUTIONS - OP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Mr. Samuel Lee EcholsNPI 1396741583
Title
Partner & Coo
Phone
(706) 346-6035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

335 Roselane St NW
Ste 200
Marietta, GA 30060
Phone (770) 424-6787

Practitioners & affiliated clinicians

Practitioners 6

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": "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.

Verify at the official NPI Registry.