Active NPI
Innovative Physical Therapy LLC
- Physical Medicine & Rehabilitation Physician
- Woodstock, GA
National Provider Identifier
1639686355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- INNOVATIVE PHYSICAL THERAPY LLC
- Practice address
- 3119 Sandhurst Dr
Woodstock, GA 30189-1521 - Phone
- (678) 439-1934
- Fax
- (844) 728-8806
- NPI assigned
- Jan 3, 2018
- 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
- Lauren Crigler, PT
- Title
- Owner/Therapist
- Phone
- (678) 439-1934
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 Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
3119 Sandhurst Dr
Woodstock, GA 30189-1521
Mailing address
3119 Sandhurst Dr
Woodstock, GA 30189-1521
Phone (678) 439-1934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
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.
-
- Physical Therapist
- Peachtree City, GA
- NPI 1487072344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1514937600000",
"number": "1639686355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3119 SANDHURST DR",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301891521",
"telephone_number": "678-439-1934",
"fax_number": "844-728-8806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3119 SANDHURST DR",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301891521",
"telephone_number": "678-439-1934",
"fax_number": "844-728-8806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE PHYSICAL THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-03",
"last_updated": "2018-01-03",
"status": "A",
"authorized_official_last_name": "CRIGLER",
"authorized_official_first_name": "LAUREN",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "678-439-1934",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
- Independent Physical Therapy, LLC
- Swarnalatha Inderjith, M.D
- Holly Spriggs Infante, PHARM D, CGP, FASCP
- Inner Voyage Wellness Center
- Innovative Health and Wellness LLC
- Integrated Healthcare Center of Woodstock LLC
- Integrated Healthcare of Woodstock
- Integrated Rehabilitation Specialists, Inc.
- Integrative Health Care Centers of Atlanta, LLC
- Intuitive Counseling Associates LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.