Enhanced Physical Medicine

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

CHIR007877 Issued in GA

Legal business name

ENHANCED PHYSICAL MEDICINE

Practice address

622 W Crossville Rd
100
Roswell, GA 30075-2560

Phone

(770) 552-7500

Fax

(888) 819-9318

NPI assigned

Jun 23, 2014

Last updated

Jun 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Eisen, DC

Title

Owner

Phone

(770) 552-7500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1740695279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 W CROSSVILLE RD",
            "address_2": "SUITE #100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752560",
            "telephone_number": "770-552-7500",
            "fax_number": "888-819-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W CROSSVILLE RD",
            "address_2": "100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752560",
            "telephone_number": "770-552-7500",
            "fax_number": "888-819-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCED PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "EISEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-552-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "CHIR007877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emotional Wellness of Roswell
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• Enaya Counseling and Consulting LLC
• Andrew Craig English, M.S., BCBA
• Enhanced Wellness Clinics
• Darius Entesary, LPC
• Epic Group 8
• Epix Anesthesia of Alabama LLC
• Epix Anesthesia of Arizona LLC

• Physical Medicine & Rehabilitation Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.