Advanced Physical Therapy East LTD

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2006OCC-0448 Issued in GA

Legal business name

ADVANCED PHYSICAL THERAPY EAST LTD

Practice address

2469 Heritage VLG
Suite 14
Snellville, GA 30078-6140

Phone

(770) 518-8021

NPI assigned

Jul 25, 2006

Last updated

Aug 22, 2020By 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

Mrs. Farrah B Azordegan

Title

Administrative

Phone

(770) 518-8021

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447273453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2469 HERITAGE VLG",
            "address_2": "SUITE 14",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786140",
            "telephone_number": "770-518-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2469 HERITAGE VLG",
            "address_2": "SUITE 14",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786140",
            "telephone_number": "770-518-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PHYSICAL THERAPY EAST LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AZORDEGAN",
        "authorized_official_first_name": "FARRAH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATIVE",
        "authorized_official_telephone_number": "770-518-8021",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "2006OCC-0448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advance Pain Center LLC
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• Advance Therapeutic Concepts, Inc.
• Advanced Care Providers, LLC
• Advanced Physical Therapy East LTD
• Advanced Urology Anesthesia, LLC
• Advanced Urology Institute of Georgia PC
• Advanced Urology Institute of Georgia, LLC
• Advanced Urology of Ga-East, PC

• Physical Therapy Clinic/Center in Snellville, GA
• Providers in Snellville, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• 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.