NPIMap

Organization Active NPI

Lake Oconee Rehabilitation and Performance Center, LLC

  • Physical Therapy Clinic/Center
  • Eatonton, GA
National Provider Identifier
1649415217
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LAKE OCONEE REHABILITATION AND PERFORMANCE CENTER, LLC
Practice address
117 Harmony Crossing
Suite 4
Eatonton, GA 31024
Phone
(706) 454-1811
Fax
(706) 454-1812
NPI assigned
Dec 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Authorized official

Name
Mr. Brian E Prell, P.T.
Title
Owner, Physicial Therapist
Phone
(706) 454-1811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

117 Harmony Crossing
Suite 4
Eatonton, GA 31024

Mailing address

117 Harmony Crossing
Suite 4
Eatonton, GA 31024
Phone (706) 454-1811

National Provider Directory

National Provider Directory

Locations

117 Harmony Xing
Ste 4
Eatonton, GA 31024
Phone (678) 936-0273

Practitioners & affiliated clinicians

Practitioners 5

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": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1649415217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 HARMONY CROSSING",
            "address_2": "SUITE 4",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "31024",
            "telephone_number": "706-454-1811",
            "fax_number": "706-454-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 HARMONY CROSSING",
            "address_2": "SUITE 4",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "31024",
            "telephone_number": "706-454-1811",
            "fax_number": "706-454-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE OCONEE REHABILITATION AND PERFORMANCE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "PRELL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER, PHYSICIAL THERAPIST",
        "authorized_official_telephone_number": "706-454-1811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatonton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.