Decatur Rehab Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR002902 Issued in GA

Legal business name

DECATUR REHAB CENTER, LLC

Practice address

2853 Candler Rd
Suite 5
Decatur, GA 30034-1433

Phone

(305) 608-9248

NPI assigned

Apr 29, 2013

Last updated

Apr 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Todd Sussman

Title

Worker

Phone

(305) 608-9248

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1649614025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2853 CANDLER RD",
            "address_2": "SUITE 5",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2853 CANDLER RD",
            "address_2": "SUITE 5",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341433",
            "telephone_number": "305-608-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR REHAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "SUSSMAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "WORKER",
        "authorized_official_telephone_number": "305-608-9248",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR002902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Decatur Ortho-Neuro Group LLC
• Decatur Pain & Rehab
• Decatur Physical Therapy & Sports Medicine
• Decatur Psychology, LLC
• Decatur Recovery Services, Inc.
• Decatur Speech Language Therapy Services, LLC
• Decatur Spine & Joint Center, LLC
• Decatur Urology Surgery Center
• Decatur Weightloss & Pain Center LLC
• Decatur Wellness Services, Inc.

• Chiropractor in Decatur, GA
• Providers in Decatur, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.