NPIMap

Organization Active NPI

Esop Rehabilitation LLC

Doing business as Emory & Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Marietta, GA
National Provider Identifier
1548699127
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ESOP REHABILITATION LLC
Doing business as
Emory & Select Physical Therapy
Emory Rehabilitation Outpatient Center
Practice address
1100 Johnson Ferry Road, Suite 425
Marietta, GA 30068-2794
Phone
(770) 977-8111
Fax
(770) 565-5941
NPI assigned
Nov 5, 2013
Last updated
Oct 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
John F Duggan
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 1

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

Addresses

Primary practice location

1100 Johnson Ferry Road, Suite 425
Marietta, GA 30068-2794

Mailing address

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Other names 2

  • Emory & Select Physical Therapy Doing business as
  • Emory Rehabilitation Outpatient Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140808001586 GA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 9739305749 Practice locations: Austell, GA; Decatur, GA; Douglasville, GA; Duluth, GA; Marietta, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548699127. Details of each certification follow.

  • CCN 116622 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 116622

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
EMORY REHABILITATION OUTPATIENT CENTER- MARIETTA
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Mar 27, 1990
Last certification
Oct 13, 2022
Ownership / control type
Proprietary
Facility address
1100 Johnson Ferry Suite 425
Marietta, GA 30068

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Esop Rehabilitation LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1548699127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY ROAD, SUITE 425",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682794",
            "telephone_number": "770-977-8111",
            "fax_number": "770-565-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESOP REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emory & Select Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Emory Rehabilitation Outpatient Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.