Exos Ap Arizona, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EXOS AP ARIZONA, LLC

Practice address

4113 Lake St
Alpharetta, GA 30009-3917

Phone

(470) 508-0510

NPI assigned

Nov 25, 2024

Organization subpart

Yes

Parent organization

ATHLETES' PERFORMANCE, INCAs reported in NPPES

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

Authorized official

Name

James Godin, DPT

Title

Senior Director of Physical Therapy

Phone

(207) 232-8692

Specialties & licenses 1

Addresses

Tax ID family

Exos Ap Arizona LLC3 organizations share this tax ID, including this one

Part of

Exos Ap Arizona LLC

Other organizations with this tax ID 2

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

• Exos Ap Arizona, LLC

  • Physical Therapist
  • Canton, GA
  • NPI 1629891031
  NPD tax ID
• Exos Ap Arizona, LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1235455957
  NPD tax ID

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1740006782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 LAKE ST",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300093917",
            "telephone_number": "470-508-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 LAKE ST",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300093917",
            "telephone_number": "470-508-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXOS AP ARIZONA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHLETES' PERFORMANCE, INC",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-24",
        "status": "A",
        "authorized_official_last_name": "GODIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "207-232-8692",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryleigh M Evans
• Susan Van Giesen Evans, PSY.D.
• Christa Everett, RN
• Evergreen Wellness Group
• Exclusive in Home Care
• Express Yourself, LLC
• Eye Associates of North Atlanta LLC
• Eye M Eid Inc
• Eye Styles LLC
• Jessica Ifeoma Ezika, NP

• Physical Therapy Clinic/Center in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.