NPIMap

Organization Active NPI

Westside Physical Therapy, LLC

Doing business as Movement Sports Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Atlanta, GA
National Provider Identifier
1669862769
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT008407 Issued in GA
Legal business name
WESTSIDE PHYSICAL THERAPY, LLC
Doing business as
Movement Sports Physical Therapy, LLC
Practice address
1695 Marietta Blvd NW
At Atlanta Ballet
Atlanta, GA 30318-3644
Phone
(404) 382-8702
Fax
(404) 492-7034
NPI assigned
Jan 27, 2015
Last updated
Jan 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Brian Arthur Yee, PTNPI 1902979032
Title
Owner
Phone
(404) 441-0206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT008407 GA Primary

Addresses

Primary practice location

1695 Marietta Blvd NW
At Atlanta Ballet
Atlanta, GA 30318-3644

Mailing address

2444 Clairmont Rd NE
Atlanta, GA 30329-3330
Phone (404) 382-8702

Other names 1

  • Movement Sports Physical Therapy, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150430002436 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6507185212 Receives reassigned benefits from 13 practitioners
Practice locations: Atlanta, GA; Norcross, GA

National Provider Directory

National Provider Directory

Locations

1695 Marietta Blvd NW
Atlanta, GA 30318
Phone (404) 382-8667

3280 Peachtree Rd NE
Ste 110B
Atlanta, GA 30305
Phone (404) 382-8702

550 Pharr Rd NE
Ste 550
Atlanta, GA 30305
Phone (404) 382-8702

5510 Spalding Dr
Ste B
Peachtree Corners, GA 30092
Phone (404) 382-8702

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1669862769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 CLAIRMONT RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293330",
            "telephone_number": "404-382-8702",
            "fax_number": "404-492-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 MARIETTA BLVD NW",
            "address_2": "AT ATLANTA BALLET",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303183644",
            "telephone_number": "404-382-8702",
            "fax_number": "404-492-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-441-0206",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT008407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Movement Sports Physical Therapy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.