Organization Active NPI

Georgia Rehabilitation Center, Inc.

  • Physical Therapy Clinic/Center
  • Fayetteville, GA
National Provider Identifier
1437212933
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
GEORGIA REHABILITATION CENTER, INC.
Practice address
101 Yorktown Dr
Suite 211
Fayetteville, GA 30214-1568
Phone
(770) 460-4054
Fax
(770) 460-4040
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Russell A Foley, PTNPI 1811021199
Title
President
Phone
(770) 254-7850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

101 Yorktown Dr
Suite 211
Fayetteville, GA 30214-1568

Mailing address

3150 Highway 34 E
PMB 140
Newnan, GA 30265-2122
Phone (770) 254-7850

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1437212933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 HIGHWAY 34 E",
            "address_2": "PMB 140",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652122",
            "telephone_number": "770-254-7850",
            "fax_number": "770-254-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 YORKTOWN DR",
            "address_2": "SUITE 211",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141568",
            "telephone_number": "770-460-4054",
            "fax_number": "770-460-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "FOLEY",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-254-7850",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.