Justin B. Rich, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008081 Issued in GA

Practice address

2000 Mirror Lake Blvd
Suite S
Villa Rica, GA 30180-2124

Phone

(770) 456-7877

Fax

(770) 456-7880

NPI assigned

Mar 9, 2006

Last updated

Oct 6, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Accel Physical Therapy IncGroup PAC ID 8921109067, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Accel Physical Therapy Inc

  • Physical Therapist
  • Villa Rica, GA
  • NPI 1184827495
  Medicare reassignment Care Compare group NPD
• Georgia Luna Care Physical Therapy LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1245826999
  Medicare reassignment
• Emory Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Atlanta, GA
  • NPI 1922018423
  NPD
• Emory Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Brookhaven, GA
  • NPI 1720097561
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1699743211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MIRROR LAKE BLVD STE S",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301802126",
            "telephone_number": "770-456-7877",
            "fax_number": "770-456-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MIRROR LAKE BLVD",
            "address_2": "SUITE S",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301802124",
            "telephone_number": "770-456-7877",
            "fax_number": "770-456-7880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Cunningham Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301172818",
            "country_code": "US",
            "telephone_number": "678-664-1467",
            "fax_number": "678-664-1483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Nathan Dean Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "GA",
            "postal_code": "301574912",
            "country_code": "US",
            "telephone_number": "678-402-7770",
            "fax_number": "678-402-6947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2983 Chapel Hill Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301351767",
            "country_code": "US",
            "telephone_number": "770-947-8177",
            "fax_number": "770-947-8377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICH",
        "first_name": "JUSTIN",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "008081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205150275",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Releford, FNP
• Respect the Drip IV Hydration LLC
• RGS Holdings, Inc (Kids in Motion)
• Rhema Housing Inc
• Isabelle Rich, PTA
• Edwin Richardson
• Lisa Anita Riley
• Delanie Morgan Roberts, NP
• Jennifer Lee Roberts, FNP-C
• Gwen Dell Robinson

• Physical Therapist in Villa Rica, GA
• Providers in Villa Rica, 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 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.