NPIMap

Organization Active NPI

Neurosport Physical Therapy

  • Physical Therapy Clinic/Center
  • Marietta, GA
National Provider Identifier
1437545324
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
NEUROSPORT PHYSICAL THERAPY
Practice address
1163 Johnson Ferry Rd Ste 100
Marietta, GA 30068-2764
Phone
(770) 321-0155
NPI assigned
Apr 8, 2015
Last updated
Apr 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Authorized official

Name
Nikki Hanley
Title
Human Resource Manager
Phone
(770) 321-0155

Specialties & licenses 1

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

Addresses

Primary practice location

1163 Johnson Ferry Rd Ste 100
Marietta, GA 30068-2764

Mailing address

1163 Johnson Ferry Rd Ste 100
Marietta, GA 30068-2764
Phone (770) 321-0155

National Provider Directory

National Provider Directory
Tax ID family
Neurosport Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1437545324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 JOHNSON FERRY RD STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682764",
            "telephone_number": "770-321-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 JOHNSON FERRY RD STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682764",
            "telephone_number": "770-321-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSPORT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "HANLEY",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "HUMAN RESOURCE MANAGER",
        "authorized_official_telephone_number": "770-321-0155"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 8, 2015; 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.