Active NPI
Louange Physical Therapy
- Physical Therapist
- Roswell, GA
National Provider Identifier
1710461231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- LOUANGE PHYSICAL THERAPY
- Practice address
- 408 S Atlanta St Ste 160
Roswell, GA 30075-4976 - Phone
- (404) 992-8437
- NPI assigned
- Sep 20, 2018
- 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
- Dr. Ayodeji Owoyomi, DPT
- Title
- Ceo
- Phone
- (404) 992-8437
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
408 S Atlanta St Ste 160
Roswell, GA 30075-4976
Mailing address
408 S Atlanta St Ste 160
Roswell, GA 30075-4976
Phone (404) 992-8437
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537401600000",
"number": "1710461231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 S ATLANTA ST STE 160",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300754976",
"telephone_number": "404-992-8437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 S ATLANTA ST STE 160",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300754976",
"telephone_number": "404-992-8437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOUANGE PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-20",
"last_updated": "2018-09-20",
"status": "A",
"authorized_official_last_name": "OWOYOMI",
"authorized_official_first_name": "AYODEJI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-992-8437",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.