Organization Active NPI

Upward Therapy, L.L.C.

  • Physical Therapist
  • Marietta, GA
National Provider Identifier
1407970072
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005376 Issued in GA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00923546BMedicaidGA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.