Stretch PT and Wellness

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

STRETCH PT AND WELLNESS

Practice address

131 Parkmont LN
Dallas, GA 30132-1154

Phone

(330) 518-7751

NPI assigned

Sep 7, 2022

Organization subpart

No

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

Authorized official

Name

Melissa CentofanteNPI 1760901482

Title

Physical Therapist

Phone

(330) 518-7751

Specialties & licenses 1

Addresses

Practitioners 1

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

• Melissa Centofante

  • Physical Therapist
  • Atlanta, GA
  • NPI 1760901482
  NPD Authorized official

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1558082792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 PARKMONT LN",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301321154",
            "telephone_number": "330-518-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 PARKMONT LN",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301321154",
            "telephone_number": "330-518-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRETCH PT AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "CENTOFANTE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "330-518-7751"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope H Still, DDS
• Hunter Ellis Stinson, DMD
• Jennifer L Stocks, PT,DPT
• Chad Stough, PA-C
• Rachel Stratton, PTA
• Olivette Strickland
• Christine Michelle Strong, FNP-BC
• Michelle Sturdivant, RN
• Summit Speech Therapy
• Nina Sutton, DC

• All providers in Dallas, GA
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.