Active NPI
Upward Therapy, L.L.C.
- Physical Therapist
- Marietta, GA
National Provider Identifier
1407970072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005376
- Legal business name
- UPWARD THERAPY, L.L.C.
- Practice address
- 921 Richmond Hill Dr
Marietta, GA 30068-4442 - Phone
- (770) 265-2474
- Fax
- (770) 518-0331
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kimberly G. Miller, M.P.T.
- Title
- Owner
- Phone
- (770) 265-2474
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 005376 | GA | Primary |
Addresses
Primary practice location
921 Richmond Hill Dr
Marietta, GA 30068-4442
Mailing address
921 Richmond Hill Dr
Marietta, GA 30068-4442
Phone (770) 265-2474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00923546B | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1407970072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 RICHMOND HILL DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684442",
"telephone_number": "770-265-2474",
"fax_number": "770-518-0331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 RICHMOND HILL DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684442",
"telephone_number": "770-265-2474",
"fax_number": "770-518-0331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPWARD THERAPY, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-265-2474",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.P.T."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "GA",
"license": "005376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00923546B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.