Active NPI
Max 360 Health, LLC
- Physical Medicine & Rehabilitation Physician
- Alpharetta, GA
National Provider Identifier
1700134913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 038955
- Legal business name
- MAX 360 HEALTH, LLC
- Practice address
- 12315 Crabapple Rd
Suite 144
Alpharetta, GA 30004-6329 - Phone
- (678) 261-3222
- Fax
- (678) 261-3226
- NPI assigned
- Aug 17, 2012
- Last updated
- Aug 17, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian Ouellette, D.C.
- Title
- Owner
- Phone
- (770) 312-5005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 038955 | GA | Primary |
Addresses
Primary practice location
12315 Crabapple Rd
Suite 144
Alpharetta, GA 30004-6329
Mailing address
12315 Crabapple Rd
Suite 144
Alpharetta, GA 30004-6329
National Provider Directory
National Provider DirectoryLocations
12315 Crabapple Rd
Ste 144
Alpharetta, GA 30004
Phone (678) 261-3222
Practitioners & affiliated clinicians
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.
-
- Chiropractor
- Alpharetta, GA
- NPI 1841356763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345161600000",
"number": "1700134913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12315 CRABAPPLE RD",
"address_2": "SUITE 144",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300046329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12315 CRABAPPLE RD",
"address_2": "SUITE 144",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300046329",
"telephone_number": "678-261-3222",
"fax_number": "678-261-3226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAX 360 HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-17",
"last_updated": "2012-08-17",
"status": "A",
"authorized_official_last_name": "OUELLETTE",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-312-5005",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "GA",
"license": "038955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.