Organization Active NPI

The Aristos Health Group, LLC.

  • Physical Therapist
  • Austell, GA
National Provider Identifier
1407861826
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007362 Issued in GA
Legal business name
THE ARISTOS HEALTH GROUP, LLC.
Practice address
2787 Jefferson St
Austell, GA 30168-4039
Phone
(770) 739-1177
Fax
(866) 552-8286
NPI assigned
Jul 31, 2006
Last updated
Sep 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Authorized official

Name
Dr. Charles H. Wallington Jr., DPT
Title
Owner
Phone
(770) 739-1177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT007362 GA Primary

Addresses

Primary practice location

2787 Jefferson St
Austell, GA 30168-4039

Mailing address

PO Box 762
Austell, GA 30168-1008
Phone (770) 739-1177

Other identifiers 1

IdentifierTypeStateIssuer
826410134AMedicaidGA

National Provider Directory

National Provider Directory

Locations

501 Pulliam St SW
Ste 144
Atlanta, GA 30312
Phone (404) 522-2220

2787 Jefferson St
Austell, GA 30168
Phone (770) 739-1177

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1407861826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 762",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301681008",
            "telephone_number": "770-739-1177",
            "fax_number": "866-552-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2787 JEFFERSON ST",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301684039",
            "telephone_number": "770-739-1177",
            "fax_number": "866-552-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARISTOS HEALTH GROUP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "WALLINGTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-739-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "826410134A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.