NPIMap

Organization Active NPI

Caerus Group LLC

  • Rehabilitation Hospital Unit
  • Tucker, GA
National Provider Identifier
1639437726
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
8642 Issued in GA
Legal business name
CAERUS GROUP LLC
Practice address
3760 Lavista Rd
Suite 102
Tucker, GA 30084-5615
Phone
(404) 248-0415
Fax
(404) 248-0422
NPI assigned
Apr 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Dr. Riggolette Andonte Leeper Jr., DPT
Title
Owner
Phone
(404) 939-7440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 8642 GA Primary

Addresses

Primary practice location

3760 Lavista Rd
Suite 102
Tucker, GA 30084-5615

Mailing address

3954 Jericho Rd
Tucker, GA 30084-7411
Phone (404) 939-7440

National Provider Directory

National Provider Directory
Tax ID family
Caurus Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1639437726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3954 JERICHO RD",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300847411",
            "telephone_number": "404-939-7440",
            "fax_number": "404-248-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 LAVISTA RD",
            "address_2": "SUITE 102",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845615",
            "telephone_number": "404-248-0415",
            "fax_number": "404-248-0422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAERUS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "LEEPER",
        "authorized_official_first_name": "RIGGOLETTE",
        "authorized_official_middle_name": "ANDONTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-939-7440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "GA",
            "license": "8642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.