NPIMap

Organization Active NPI

Your Rehab & Pain Clinic

  • Rehabilitation Clinic/Center
  • Johns Creek, GA
National Provider Identifier
1508105412
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
OT003351 Issued in GA
Legal business name
YOUR REHAB & PAIN CLINIC
Practice address
10820 Abbotts Bridge Rd Ste 240
Johns Creek, GA 30097-5783
Phone
(678) 333-4528
NPI assigned
Feb 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Jungsoo YoonNPI 1144569633
Title
Occupational Therapist
Phone
(678) 333-4528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X OT003351 GA Primary

Addresses

Primary practice location

10820 Abbotts Bridge Rd Ste 240
Johns Creek, GA 30097-5783

Mailing address

10820 Abbotts Bridge Rd Ste 240
Johns Creek, GA 30097-5783
Phone (678) 333-4528

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1508105412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 ABBOTTS BRIDGE RD STE 240",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300975783",
            "telephone_number": "678-333-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 ABBOTTS BRIDGE RD STE 240",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300975783",
            "telephone_number": "678-333-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR REHAB & PAIN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "JUNGSOO",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "678-333-4528"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "GA",
            "license": "OT003351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.