NPIMap

Organization Active NPI

Rebound Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Woodstock, GA
National Provider Identifier
1487739173
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REBOUND PHYSICAL THERAPY, LLC
Practice address
1432 Towne Lake Pkwy
120
Woodstock, GA 30189-8263
Phone
(678) 445-9799
Fax
(678) 445-2688
NPI assigned
Oct 25, 2006
Last updated
Aug 17, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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

Authorized official

Name
Joseph O KafatiNPI 1144243817
Title
Owner/Therapist
Phone
(678) 445-9799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1432 Towne Lake Pkwy
120
Woodstock, GA 30189-8263

Mailing address

1432 Towne Lake Pkwy
120
Woodstock, GA 30189-8263
Phone (678) 445-9799

National Provider Directory

National Provider Directory

Locations

1432 Towne Lake Pkwy
Ste 120
Woodstock, GA 30189
Phone (678) 445-9799

Practitioners & affiliated clinicians

Practitioners 5

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1487739173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 TOWNE LAKE PKWY",
            "address_2": "120",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301898263",
            "telephone_number": "678-445-9799",
            "fax_number": "678-445-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 TOWNE LAKE PKWY",
            "address_2": "120",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301898263",
            "telephone_number": "678-445-9799",
            "fax_number": "678-445-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "KAFATI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "678-445-9799"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.