NPIMap

Organization Active NPI

Athletic Spine Rehabilitation, LLC

Doing business as FYZICAL Therapy & Balance Centers

  • Physical Therapist
  • Marietta, GA
National Provider Identifier
1740355304
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ATHLETIC SPINE REHABILITATION, LLC
Doing business as
FYZICAL Therapy & Balance Centers
Practice address
880 Canton Rd NE Ste 100
Marietta, GA 30060-7283
Phone
(770) 792-7522
Fax
(770) 792-7508
NPI assigned
Nov 21, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Herbert L Silver, PT, DSC, OCSNPI 1720061062
Title
Owner
Phone
(770) 792-7522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Sports Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251S0007X
Orthopedic Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251X0800X
Physical Therapy AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225200000X

Addresses

Primary practice location

880 Canton Rd NE Ste 100
Marietta, GA 30060-7283

Mailing address

880 Canton Rd NE Ste 100
Marietta, GA 30060-7283
Phone (770) 792-7522

Other practice location 1

32 Irby Ave NW
Atlanta, GA 30305-1808
Phone (770) 792-7522

Other names 1

  • FYZICAL Therapy & Balance Centers Doing business as

National Provider Directory

National Provider Directory

Locations

32 Irby Ave NW
Atlanta, GA 30305
Phone (770) 792-7522

1419 Old McDonough Hwy SE
Conyers, GA 30094
Phone (770) 955-2623

2125 Corporate Dr SE
Ste 101
Marietta, GA 30067
Phone (710) 955-2623

670 Whitlock Ave NW
Marietta, GA 30064
Phone (770) 955-2623

880 Canton Rd NE
Ste 100
Marietta, GA 30060
Phone (770) 422-8264

608 Holcomb Bridge Rd
Ste 260
Roswell, GA 30076
Phone (770) 955-2623

Practitioners & affiliated clinicians

Practitioners 10

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1740355304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 CANTON RD NE STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607283",
            "telephone_number": "770-792-7522",
            "fax_number": "770-792-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 CANTON RD NE STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607283",
            "telephone_number": "770-792-7522",
            "fax_number": "770-792-7508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Irby Ave NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303051808",
            "country_code": "US",
            "telephone_number": "770-792-7522",
            "fax_number": "770-792-7508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATHLETIC SPINE REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SILVER",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-792-7522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DSC, OCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy & Balance Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.