Physical Medicine of Sandy Springs

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

63309 Issued in GA

Legal business name

PHYSICAL MEDICINE OF SANDY SPRINGS

Practice address

6690 Roswell Rd NE
Sandy Springs, GA 30328-3161

Phone

(770) 416-9995

NPI assigned

Nov 16, 2011

Last updated

Nov 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Lundrigan

Title

Manager

Phone

(770) 416-9995

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Farhan Javed Malik, M.D.

  • Family Medicine Physician
  • Alpharetta, GA
  • NPI 1699941286
  NPD (past)

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1356618524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6690 ROSWELL RD NE",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303283161",
            "telephone_number": "770-416-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6690 ROSWELL RD NE",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303283161",
            "telephone_number": "770-416-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE OF SANDY SPRINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "LUNDRIGAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-416-9995"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "GA",
            "license": "63309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rick Petronella
• Hongduyen Pham, RBT
• David Alexander Phaup
• Janise Phillips
• Matthew Phillips, PHARM.D
• Physical Therapy 360 Degrees (PT 360)
• Physicians Spine and Rehab Specialists of Ga
• Physiohealth
• Physiologix Sports Physical Therapy LLC
• Piedmont Orthopedics Surgery Center Perimeter

• Pain Clinic/Center in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Pain Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.