Organization Active NPI

Momentum Rehab & Therapy

  • Clinic/Center
  • Decatur, GA
National Provider Identifier
1447886320
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MOMENTUM REHAB & THERAPY
Practice address
5349 Snapfinger Woods Dr
Decatur, GA 30035-4028
Phone
(470) 375-7345
Fax
(470) 200-2768
NPI assigned
Mar 23, 2020
Last updated
Mar 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Authorized official

Name
Kimberly Stabler
Title
Practice Manager
Phone
(470) 375-7345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5349 Snapfinger Woods Dr
Decatur, GA 30035-4028

Mailing address

5349 Snapfinger Woods Dr
Decatur, GA 30035-4028
Phone (470) 375-7345

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL DECATUR

National Provider Directory

National Provider Directory

Locations

5349 Snapfinger Woods Dr
Decatur, GA 30035
Phone (470) 375-7345

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1447886320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5349 SNAPFINGER WOODS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354028",
            "telephone_number": "470-375-7345",
            "fax_number": "470-200-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5349 SNAPFINGER WOODS DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354028",
            "telephone_number": "470-375-7345",
            "fax_number": "470-200-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM REHAB & THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "STABLER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "470-375-7345"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DECATUR",
            "affiliation": "N",
            "address_1": "5349 Snapfinger Woods Dr",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300354028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.