Georgia State University Physical

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

GEORGIA STATE UNIVERSITY PHYSICAL

Practice address

66 Courtland St SE Ste 108
Atlanta, GA 30303-3021

Phone

(404) 413-1415

NPI assigned

May 29, 2013

Last updated

Jul 19, 2021By 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

Amanda Stillings

Title

Business Manager

Phone

(404) 413-1212

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 4

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.

• Lindsey L Cohen, PHD

  • Clinical Child & Adolescent Psychologist
  • Atlanta, GA
  • NPI 1194029330
  NPD (past)
• Jodan Garcia

  • Physical Therapist
  • Atlanta, GA
  • NPI 1134516438
  NPD (past)
• Isabella Maria Palumbo, PH.D.

  • Clinical Psychologist
  • Cumming, GA
  • NPI 1699439208
  NPD (past)
• Emily Elizabeth Patton

  • Student in an Organized Health Care Education/Training Program
  • Atlanta, GA
  • NPI 1922885201
  NPD (past)

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1477990695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 DECATUR ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 COURTLAND ST SE STE 108",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033021",
            "telephone_number": "404-413-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA STATE UNIVERSITY PHYSICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-29",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "STILLINGS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "404-413-1212"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "astillings@gsu.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "66 Courtland St SE Ste 108",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303033021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Georgia Speedy Testing LLC
• Georgia Spinal Health & Wellness Inc
• Georgia Sports Chiropractic
• Georgia State Diagnostics LLC
• Georgia State Medical Supply LLC
• Georgia Surgical Arts Dental Implants & Oral Surgery LLC (Imperial Dental Implants & Oral Surgery)
• Georgia Surgical Center on Peachtree, LLC
• Georgia Surgical Professional Services, LLC
• Georgia Tech Sports Medicine and Rehab
• Georgia Therapeutic Interventions

• Physical Therapy Clinic/Center in Atlanta, GA
• Providers in Atlanta, 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 Jul 19, 2021; 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.