NPIMap

Organization Active NPI

Towne Lake Rehab & Medical Center LLC

  • Family Medicine Physician
  • Woodstock, GA
National Provider Identifier
1376735191
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TOWNE LAKE REHAB & MEDICAL CENTER LLC
Practice address
2230 Towne Lake Pkwy
BLDG 200 - Suite 100
Woodstock, GA 30189-5540
Phone
(770) 378-8463
NPI assigned
Aug 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Rita Mateu
Title
Member
Phone
(770) 378-8463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X GA Primary

Addresses

Primary practice location

2230 Towne Lake Pkwy
BLDG 200 - Suite 100
Woodstock, GA 30189-5540

Mailing address

2230 Towne Lake Pkwy
BLDG 200 - Suite 100
Woodstock, GA 30189-5540
Phone (770) 378-8463

National Provider Directory

National Provider Directory

Locations

2230 Towne Lake Pkwy
Bldg 200-100
Woodstock, GA 30189

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1376735191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 TOWNE LAKE PKWY",
            "address_2": "BLDG 200 - SUITE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895540",
            "telephone_number": "770-378-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 TOWNE LAKE PKWY",
            "address_2": "BLDG 200 - SUITE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895540",
            "telephone_number": "770-378-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNE LAKE REHAB & MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "MATEU",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "770-378-8463"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.