NPIMap

Organization Active NPI

Spine Center Atlanta Rehabilitation & Wellness Center, LLC

  • Physical Therapy Clinic/Center
  • Atlanta, GA
National Provider Identifier
1487838900
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SPINE CENTER ATLANTA REHABILITATION & WELLNESS CENTER, LLC
Practice address
3161 Howell Mill Rd NW
Suite 410
Atlanta, GA 30327-2117
Phone
(404) 352-4200
Fax
(404) 352-5200
NPI assigned
Dec 19, 2007
Last updated
Oct 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Mr. William Tim Marlow, PT
Title
Manager
Phone
(404) 352-4200

Specialties & licenses 1

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

Addresses

Primary practice location

3161 Howell Mill Rd NW
Suite 410
Atlanta, GA 30327-2117

Mailing address

3161 Howell Mill Rd NW
Suite 410
Atlanta, GA 30327-2117
Phone (404) 352-4200

Other names 1

  • Spine Center Atlanta, LLC Other name

National Provider Directory

National Provider Directory

Locations

3161 Howell Mill Rd NW
Ste 410
Atlanta, GA 30327
Phone (404) 351-5812

3161 Howell Mill Rd NW
Ste 430
Atlanta, GA 30327
Phone (770) 285-7246

Practitioners & affiliated clinicians

Practitioners 9

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": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1487838900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 HOWELL MILL RD NW",
            "address_2": "SUITE 410",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272117",
            "telephone_number": "404-352-4200",
            "fax_number": "404-352-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 HOWELL MILL RD NW",
            "address_2": "SUITE 410",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272117",
            "telephone_number": "404-352-4200",
            "fax_number": "404-352-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CENTER ATLANTA REHABILITATION & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "MARLOW",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-352-4200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spine Center Atlanta, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.