NPIMap

Organization Active NPI

Leger Therapy Services Inc.

Doing business as CenterIMTAtlanta

  • Physical Therapy Clinic/Center
  • Fayetteville, GA
National Provider Identifier
1659327666
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT005597 Issued in GA
Legal business name
LEGER THERAPY SERVICES INC.
Doing business as
CenterIMTAtlanta
Practice address
500 W Lanier Ave
Suite 303
Fayetteville, GA 30214-7636
Phone
(770) 716-8885
Fax
(770) 716-7425
NPI assigned
May 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Kevin Andrews
Title
Practice Administrator
Phone
(770) 716-8885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT005597 GA Primary

Addresses

Primary practice location

500 W Lanier Ave
Suite 303
Fayetteville, GA 30214-7636

Mailing address

500 W Lanier Ave
Suite 303
Fayetteville, GA 30214-7636
Phone (770) 716-8885

Other names 1

  • CenterIMTAtlanta Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061220000049 GA Part B Supplier - Clinic/Group Practice 6406853415 Receives reassigned benefits from 17 practitioners
Practice locations: Fayetteville, GA; Marietta, GA; Roswell, GA
O20220824002986 NY Part B Supplier - Clinic/Group Practice 6406853415 Receives reassigned benefits from 7 practitioners
Practice locations: Cheektowaga, NY

National Provider Directory

National Provider Directory

Locations

500 Lanier Ave W
Ste 303
Fayetteville, GA 30214
Phone (770) 716-8885

965 Piedmont Rd NE
Ste 200
Marietta, GA 30066
Phone (770) 575-2212

402 Bombay Ln
Roswell, GA 30076
Phone (678) 878-2503

2564 Walden Ave
Ste 105
Cheektowaga, NY 14225
Phone (716) 288-7427

4820 Genesee St
Cheektowaga, NY 14225
Phone (770) 575-2212

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659327666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W LANIER AVE",
            "address_2": "SUITE 303",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147636",
            "telephone_number": "770-716-8885",
            "fax_number": "770-716-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W LANIER AVE",
            "address_2": "SUITE 303",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147636",
            "telephone_number": "770-716-8885",
            "fax_number": "770-716-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGER THERAPY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "770-716-8885",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT005597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterIMTAtlanta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.