Allstar Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ALLSTAR PHYSICAL THERAPY

Practice address

5615 Old National Hwy Ste D
College Park, GA 30349-3817

Phone

(678) 825-4190

Fax

(678) 368-4250

NPI assigned

Apr 29, 2013

Organization subpart

No

Locations

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

Authorized official

Name

Dr. Exop Udofia

Title

Owner

Phone

(678) 825-4190

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 6, 2017.

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1356785752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 OLD NATIONAL HWY STE D",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493817",
            "telephone_number": "678-825-4190",
            "fax_number": "678-368-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 OLD NATIONAL HWY STE D",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493817",
            "telephone_number": "678-825-4190",
            "fax_number": "678-368-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLSTAR PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "UDOFIA",
        "authorized_official_first_name": "EXOP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-825-4190",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agape Community Integrated Health Systems, Inc.
• Aica Orthopedics, P.C.
• Amarachukwu Akujieze
• All Things Go Logistics
• Allied Health Services Georgia
• Amicable Homecare LLC
• Karmen Elisabeth Ancar, DMD
• Alvin Donnell Anderson Sr.
• Henry Harrison Anderson IV, MD
• Andrew J Newsome DDS, PC

• All providers in College Park, GA
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.