Georgia Rehabilitation Specialists, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007305 Issued in GA

Legal business name

GEORGIA REHABILITATION SPECIALISTS, LLC

Practice address

1438 Highway 16 W
Suite C
Griffin, GA 30223-2054

Phone

(770) 467-4426

Fax

(770) 467-4427

NPI assigned

Dec 4, 2007

Last updated

Dec 5, 2007By 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

Mr. Michael A Vaughn

Title

Physical Therapist/Owner

Phone

(770) 467-4426

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1528240348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2331",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302240059",
            "telephone_number": "770-467-4426",
            "fax_number": "770-467-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 HIGHWAY 16 W",
            "address_2": "SUITE C",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302232054",
            "telephone_number": "770-467-4426",
            "fax_number": "770-467-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA REHABILITATION SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "770-467-4426",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Griffin, GA
• Providers in Griffin, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.