Organization Active NPI

Neuromatrix RTM LLC

  • Specialist
  • Alpharetta, GA
National Provider Identifier
1619114667
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEUROMATRIX RTM LLC
Practice address
6250 Shiloh Rd
Suite 110
Alpharetta, GA 30005-8388
Phone
(770) 781-0800
Fax
(770) 781-0828
NPI assigned
Jan 13, 2009
Last updated
Jul 22, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
THE NEUROMATRIX GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Authorized official

Name
Mr. Robert R Allen IIINPI 1336325307
Title
Ceo
Phone
(770) 781-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

6250 Shiloh Rd
Suite 110
Alpharetta, GA 30005-8388

Mailing address

5174 McGinnis Ferry Rd
Suite 203
Alpharetta, GA 30005-1792
Phone (770) 781-0800

National Provider Directory

National Provider Directory

Locations

37 N Orange Ave
Ste 500
Orlando, FL 32801
Phone (407) 900-8633

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1619114667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5174 MCGINNIS FERRY RD",
            "address_2": "SUITE 203",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300051792",
            "telephone_number": "770-781-0800",
            "fax_number": "770-781-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 SHILOH RD",
            "address_2": "SUITE 110",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300058388",
            "telephone_number": "770-781-0800",
            "fax_number": "770-781-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROMATRIX RTM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE NEUROMATRIX GROUP LLC",
        "enumeration_date": "2009-01-13",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-781-0800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.