Integrated Physical Therapy & Personal Training, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT006856 Issued in GA

Legal business name

INTEGRATED PHYSICAL THERAPY & PERSONAL TRAINING, LLC

Practice address

251 Riverbend TRL
Douglasville, GA 30134-6042

Phone

(678) 717-9113

Fax

(770) 942-3053

NPI assigned

Feb 10, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Renee L Dunn, P.T.NPI 1609824564

Title

Owner

Phone

(678) 717-9113

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Renee L Dunn, PT

  • Physical Therapist
  • Dallas, GA
  • NPI 1609824564
  NPD (past) Authorized official

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1477826121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 RIVERBEND TRL",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346042",
            "telephone_number": "678-717-9113",
            "fax_number": "770-942-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 RIVERBEND TRL",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346042",
            "telephone_number": "678-717-9113",
            "fax_number": "770-942-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PHYSICAL THERAPY & PERSONAL TRAINING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-717-9113",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT006856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Douglasville, GA
• Providers in Douglasville, 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 3, 2014; 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.