Organization Active NPI

Exos Ap Arizona, LLC

  • Physical Therapist
  • Canton, GA
National Provider Identifier
1629891031
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EXOS AP ARIZONA, LLC
Practice address
190 Etowah Industrial CT
Canton, GA 30114
Phone
(470) 863-1160
NPI assigned
Nov 4, 2024
Last updated
Nov 4, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ATHLETES' PERFORMANCE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
James GodinNPI 1699906982
Title
Director
Phone
(207) 232-8692

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
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

190 Etowah Industrial CT
Canton, GA 30114

Mailing address

2629 E Rose Garden LN
Phoenix, AZ 85050-4605
Phone (207) 232-8692

National Provider Directory

National Provider Directory
Tax ID family
Exos Ap Arizona LLC3 organizations share this tax ID, including this one
Part of
Exos Ap Arizona LLC

Other organizations with this tax ID 2

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

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": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1629891031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 E ROSE GARDEN LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504605",
            "telephone_number": "207-232-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 ETOWAH INDUSTRIAL CT",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "30114",
            "telephone_number": "470-863-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXOS AP ARIZONA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHLETES' PERFORMANCE, INC",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "GODIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "207-232-8692"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.