Onecare Physical Therapyand Sports Medicine

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

000392 Issued in GA

Legal business name

ONECARE PHYSICAL THERAPYAND SPORTS MEDICINE

Practice address

6146 Covington Hwy Ste a
Lithonia, GA 30058-8395

Phone

(678) 418-0066

Fax

(678) 418-0122

NPI assigned

Jun 8, 2012

Organization subpart

No

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

Authorized official

Name

Claude W McCants, MANAGER

Title

Clinic Manager

Phone

(678) 418-0066

Specialties & licenses 1

Addresses

Tax ID family

Onecare Physical Therapyand Sports Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• The Center for the Physically Active

  • Physical Therapy Clinic/Center
  • Decatur, GA
  • NPI 1922236090
  NPD tax ID

Locations

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1689936494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6146 COVINGTON HWY STE A",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300588395",
            "telephone_number": "678-418-0066",
            "fax_number": "678-418-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6146 COVINGTON HWY STE A",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300588395",
            "telephone_number": "678-418-0066",
            "fax_number": "678-418-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONECARE PHYSICAL THERAPYAND SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "MCCANTS",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "678-418-0066",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "GA",
            "license": "000392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adekunle Olatunde, NP
• Adegoke Melvin Olawale
• Tiffany Oliver
• Jane Omuvwie, RN
• One on One Case Management Services
• Onyi Eye Services, LLC
• Open Arms Counseling LLC
• Open Arms Novara LLC
• Open Armz, Inc
• Open Hearts Personal Care Homes, LLC

• Community Health Worker in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Community Health Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.