NPIMap

Organization Active NPI

Outlast Sports Rehabilitation, LLC

  • Physical Therapist
  • Holly Springs, GA
National Provider Identifier
1699612846
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
OUTLAST SPORTS REHABILITATION, LLC
Practice address
330 Ronnell Rd BLDG 300
Holly Springs, GA 30115-8636
Phone
(404) 308-0817
NPI assigned
May 4, 2026
Last updated
May 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Dr. Bradley Earnest, PT, DPT, CSCSNPI 1710754767
Title
Owner
Phone
(404) 308-0817

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 Therapist 225100000X Primary

Addresses

Primary practice location

330 Ronnell Rd BLDG 300
Holly Springs, GA 30115-8636

Mailing address

330 Ronnell Rd BLDG 300
Holly Springs, GA 30115-8636
Phone (404) 308-0817

National Provider Directory

National Provider Directory

Locations

330 Ronnell Rd
Bldg 300
Holly Springs, GA 30115
Phone (404) 308-0817

Practitioners & affiliated clinicians

Practitioners 2

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": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1699612846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 RONNELL RD BLDG 300",
            "city": "HOLLY SPRINGS",
            "state": "GA",
            "postal_code": "301158636",
            "telephone_number": "404-308-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 RONNELL RD BLDG 300",
            "city": "HOLLY SPRINGS",
            "state": "GA",
            "postal_code": "301158636",
            "telephone_number": "404-308-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTLAST SPORTS REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "EARNEST",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-308-0817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.