Organization Active NPI

Trinity Rehabilitation Services, Inc

  • Physical Therapist
  • Acworth, GA
National Provider Identifier
1669625240
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TRINITY REHABILITATION SERVICES, INC
Practice address
4534 Balto Way
Acworth, GA 30101-6303
Phone
(404) 625-5458
Fax
(770) 966-0973
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Andre B Chatman, M.S.P.T.NPI 1760637862
Title
President & Ceo
Phone
(404) 625-5458

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4534 Balto Way
Acworth, GA 30101-6303

Mailing address

4534 Balto Way
Acworth, GA 30101-6303
Phone (404) 625-5458

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1669625240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4534 BALTO WAY",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016303",
            "telephone_number": "404-625-5458",
            "fax_number": "770-966-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4534 BALTO WAY",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016303",
            "telephone_number": "404-625-5458",
            "fax_number": "770-966-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY REHABILITATION SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "CHATMAN",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "404-625-5458",
        "authorized_official_credential": "M.S.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.