Active NPI
Expert Doctors of Physical Therapy
- Physical Therapy Clinic/Center
- McDonough, GA
National Provider Identifier
1669196440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- EXPERT DOCTORS OF PHYSICAL THERAPY
- Practice address
- 360 McDonough Pkwy
McDonough, GA 30253-8985 - Phone
- (678) 532-7754
- NPI assigned
- Sep 27, 2022
- 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
- Dr. Okezie Onuoha, DPT
- Title
- Owner
- Phone
- (678) 532-7754
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 Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
360 McDonough Pkwy
McDonough, GA 30253-8985
Mailing address
360 McDonough Pkwy
McDonough, GA 30253-8985
Phone (678) 532-7754
Other names 1
- Total Athlete Sports Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
918 Dailey Mill Rd
McDonough, GA 30253
Phone (678) 532-7754
2691 Highway 42 N
McDonough, GA 30253
Practitioners & 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
- Stockbridge, GA
- NPI 1609320001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664236800000",
"number": "1669196440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 MCDONOUGH PKWY",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302538985",
"telephone_number": "678-532-7754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 MCDONOUGH PKWY",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302538985",
"telephone_number": "678-532-7754"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXPERT DOCTORS OF PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-27",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A",
"authorized_official_last_name": "ONUOHA",
"authorized_official_first_name": "OKEZIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-532-7754",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Total Athlete Sports Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.