NPIMap

Organization Active NPI

Broad River Rehabilitation

  • Physical Therapist
  • Rome, GA
National Provider Identifier
1417732835
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BROAD RIVER REHABILITATION
Practice address
600 Eagle Lake TRL
Rome, GA 30165-2207
Phone
(706) 368-9955
NPI assigned
Aug 25, 2023
Last updated
Aug 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Manning McGraw
Title
Ceo
Phone
(828) 774-5222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

600 Eagle Lake TRL
Rome, GA 30165-2207

Mailing address

1 Pond St
Arden, NC 28704-8500
Phone (828) 774-5222

National Provider Directory

National Provider Directory
Tax ID family
Brookstone of Thomasville3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1417732835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 POND ST",
            "city": "ARDEN",
            "state": "NC",
            "postal_code": "287048500",
            "telephone_number": "828-774-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EAGLE LAKE TRL",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652207",
            "telephone_number": "706-368-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROAD RIVER REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "MCGRAW",
        "authorized_official_first_name": "MANNING",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-774-5222"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.