Onesource Osteopractic Rehab

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ONESOURCE OSTEOPRACTIC REHAB

Doing business as

Onesource Sports Neuro Rehab

Practice address

367 Athens Hwy Ste 1100
Loganville, GA 30052-8256

Phone

(678) 250-4035

NPI assigned

Sep 18, 2023

Last updated

Sep 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Collin Adu, DPTNPI 1568754794

Title

Ceo

Phone

(678) 548-0879

Specialties & licenses 5

Addresses

Other names 1

• ONESOURCE SPORTS NEURO REHAB Doing business as

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.

• Collin T Adu, DPT.GCS.FAAOMPT. MBA

  • Orthopedic Physical Therapist
  • Lawrenceville, GA
  • NPI 1568754794
  NPD Authorized official

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1417735960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 ATHENS HWY STE 1100",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528256",
            "telephone_number": "678-250-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 ATHENS HWY STE 1100",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528256",
            "telephone_number": "678-250-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONESOURCE OSTEOPRACTIC REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-17",
        "status": "A",
        "authorized_official_last_name": "ADU",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-548-0879",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ONESOURCE SPORTS NEURO REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christiana Okwara, PHARMD
• Olive Health Care Services
• Mayra Olvera, RN
• One Stick Lab Diagnostics
• Amy Marlene Oneal, LPC
• Omowunmi Oni, DMD
• Julie A Opeka, CPNP
• Optimal Hearing Systems, LLC
• Threcia Orgu
• Ashley Owen

• Physical Therapist in Loganville, GA
• Providers in Loganville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.