West Side Medical and Physical Therapy

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

036000 Issued in GA

Legal business name

WEST SIDE MEDICAL AND PHYSICAL THERAPY

Practice address

4780 Ashford Dunwoody Rd
Suite a-617
Atlanta, GA 30338-5564

Phone

(866) 592-9432

NPI assigned

Sep 26, 2007

Organization subpart

No

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

Authorized official

Name

Carl T Shenkman

Title

Medical Director

Phone

(866) 592-9432

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1508053364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 ASHFORD DUNWOODY RD",
            "address_2": "SUITE A-617",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385564",
            "telephone_number": "866-592-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 ASHFORD DUNWOODY RD",
            "address_2": "SUITE A-617",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385564",
            "telephone_number": "866-592-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE MEDICAL AND PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "SHENKMAN",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "866-592-9432"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "036000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West End Well Werks LLC
• West Family Chiropractic
• West Paces Ambulatory Surgical Center, LLC
• West Paces Anesthesia Services, LLC
• West Paces Surgery Center LLC
• West Side Plastic Surgery, Inc
• Caitlin Lee West, PT, DPT
• Carolyn G West, CRNP
• Christine West
• Constance West, PH.D.

• Physical Medicine & Rehabilitation Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.