Neuro Vitality Physical Therapy and Wellness Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NEURO VITALITY PHYSICAL THERAPY AND WELLNESS INC

Practice address

4774 Grove Field Park
Suwanee, GA 30024-6780

Phone

(404) 909-2948

NPI assigned

Oct 14, 2024

Last updated

Oct 14, 2024By 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

Janet Hagye, PT

Title

Owner

Phone

(404) 909-2948

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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.

• Janet Medlin, PT

  • Physical Therapist
  • Gainesville, GA
  • NPI 1669924072
  Medicare reassignment NPD

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1679393813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4774 GROVE FIELD PARK",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4774 GROVE FIELD PARK",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246780",
            "telephone_number": "404-909-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO VITALITY PHYSICAL THERAPY AND WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-13",
        "status": "A",
        "authorized_official_last_name": "HAGYE",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-909-2948",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Nematbakhsh, PHARMD
• Zola Nemorin, MEDICAL ESTHETICIAN
• Arden Nemrow
• Benjamin Neubauer
• Neuro Consultants Inc
• New Directions Georgia, Inc
• New Hope Healthcare Services LLC
• New Journey Counseling, LLC
• New Life Health Systems
• New Sun Mental Health Center, Inc.

• Physical Therapist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.