South Metro Rehab and Sports Medicine, LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

SOUTH METRO REHAB AND SPORTS MEDICINE, LLC

Practice address

245 Village Center Pkwy
Suite 120
Stockbridge, GA 30281-9096

Phone

(770) 876-5776

NPI assigned

Oct 3, 2011

Last updated

Dec 5, 2011By 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. John A McDowell Jr., PA-C

Title

Co-Owner

Phone

(770) 876-5776

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Rawlda Freeman, PT

  • Physical Therapist
  • Temple Hills, MD
  • NPI 1659649820
  NPD (past)

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1659655132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 PANTHERS TRCE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343855",
            "telephone_number": "770-876-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 VILLAGE CENTER PKWY",
            "address_2": "SUITE 120",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819096",
            "telephone_number": "770-876-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH METRO REHAB AND SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "MCDOWELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "770-876-5776",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Atlanta Neurology & Pain Clinic, PC
• South Atlanta Neurosurgery
• South Atlanta Vascular Institute, LLC
• South Horizon Healthcare LLC
• South Metro Bone & Joint PC
• Southern Compassion Home Care LLC
• Southern Crescent Care,LLC (Home Helpers)
• Southern Crescent Endoscopy Suite, PC
• Southern Crescent ENT, P.C.
• Southern Crescent Medical Center, LLC

• Orthopedic Physical Therapist in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Orthopedic Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.