NPIMap

Organization Active NPI

Georgia Physical Therapy & Sports Medicine Center

  • Physical Therapy Clinic/Center
  • Cumming, GA
National Provider Identifier
1679093223
Registry record updated Jun 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
GEORGIA PHYSICAL THERAPY & SPORTS MEDICINE CENTER
Practice address
2 Tri County PLZ
Cumming, GA 30040-2700
Phone
(770) 888-3011
NPI assigned
Jun 26, 2017
Last updated
Jun 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2017

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

Authorized official

Name
Chad Luth, MPTNPI 1023027018
Title
Owner
Phone
(770) 888-3011

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
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

2 Tri County PLZ
Cumming, GA 30040-2700

Mailing address

320 Jessica Way
Canton, GA 30114-5852
Phone (678) 383-6014

Other names 1

  • Georgia Physical Therapy & Sports Medicine Center - Cumming Other name

National Provider Directory

National Provider Directory
Tax ID family
Georgia Physical Therapy Sports Medicine Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 7

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": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498435200000",
    "number": "1679093223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 JESSICA WAY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145852",
            "telephone_number": "678-383-6014",
            "fax_number": "770-234-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TRI COUNTY PLZ",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402700",
            "telephone_number": "770-888-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA PHYSICAL THERAPY & SPORTS MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2017-06-26",
        "status": "A",
        "authorized_official_last_name": "LUTH",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-888-3011",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Physical Therapy & Sports Medicine Center - Cumming",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.