NPIMap

Organization Active NPI

Business Intelligence Technology

  • Physical Therapy Clinic/Center
  • Conyers, GA
National Provider Identifier
1619140753
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT006109 Issued in GA
Legal business name
BUSINESS INTELLIGENCE TECHNOLOGY
Practice address
923 Commercial St NE
Conyers, GA 30012-4537
Phone
(770) 982-2103
Fax
(770) 760-8870
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Brian Conton, PT, MBANPI 1033278502
Title
Clinical Director
Phone
(770) 982-2103

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
Physical Therapy Clinic/Center 261QP2000X PT006109 GA Primary

Addresses

Primary practice location

923 Commercial St NE
Conyers, GA 30012-4537

Mailing address

335 McKees Rock LN
Lawrenceville, GA 30044-5005
Phone (770) 982-2103

Other names 1

  • Velocity Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1619140753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 MCKEES ROCK LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445005",
            "telephone_number": "770-982-2103",
            "fax_number": "770-982-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 COMMERCIAL ST NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300124537",
            "telephone_number": "770-982-2103",
            "fax_number": "770-760-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSINESS INTELLIGENCE TECHNOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "CONTON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "770-982-2103",
        "authorized_official_credential": "PT, MBA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT006109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Velocity Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.