Active NPI
Kareis Physical Therapy, LLC
- Physical Therapy Clinic/Center
- Roswell, GA
National Provider Identifier
1629850227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- KAREIS PHYSICAL THERAPY, LLC
- Practice address
- 114 Courtyard Ter
Roswell, GA 30075-4569 - Phone
- (770) 375-0775
- NPI assigned
- Oct 18, 2023
- Last updated
- Oct 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jordan Gaillard Kareis, PT, DPT
- Title
- Owner, Physical Therapist
- Phone
- (678) 837-6023
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NU | Primary |
Addresses
Primary practice location
114 Courtyard Ter
Roswell, GA 30075-4569
Mailing address
114 Courtyard Ter
Roswell, GA 30075-4569
Phone (770) 375-0775
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Physical Therapist
- Roswell, GA
- NPI 1720556624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697587200000",
"number": "1629850227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 COURTYARD TER",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300754569",
"telephone_number": "770-375-0775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 COURTYARD TER",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300754569",
"telephone_number": "770-375-0775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAREIS PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-18",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A",
"authorized_official_last_name": "KAREIS",
"authorized_official_first_name": "JORDAN",
"authorized_official_middle_name": "GAILLARD",
"authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
"authorized_official_telephone_number": "678-837-6023",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.