RWW Outpatient Rehab Services, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RWW OUTPATIENT REHAB SERVICES, LLC

Practice address

1860 Atkinson Rd Ste 101
Lawrenceville, GA 30043-5066

Phone

(678) 442-7861

NPI assigned

Oct 3, 2019

Organization subpart

No

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

Authorized official

Name

Heather Wilson

Title

National Credentialing Manager

Phone

(502) 272-3463

Specialties & licenses 4

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Walgreen Co

  • Pharmacy
  • Menomonie, WI
  • NPI 1962417048

  Member Of

  NPD member

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

• Level 11 Physical Therapy

  • Rehabilitation Clinic/Center
  • Holly, MI
  • NPI 1730317785

  Member Of

  NPD member
• Level Eleven Howell

  • Rehabilitation Clinic/Center
  • Howell, MI
  • NPI 1174998801

  Member Of

  NPD member
• Level Eleven Saginaw

  • Physical Therapy Clinic/Center
  • Saginaw, MI
  • NPI 1720320583

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1386285153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225186",
            "telephone_number": "502-630-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 ATKINSON RD STE 101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435066",
            "telephone_number": "678-442-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RWW OUTPATIENT REHAB SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "NATIONAL CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "502-272-3463"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tanya M. Rutledge, M.D.
• RX Valet LLC
• RXP Investments LLC
• Julianna Ryan, PT, DPT
• Kevin M Ryan, PAAA
• Kristin Ann Ryan, M.S.

• All providers in Lawrenceville, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.