Rehab of Marietta

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007889 Issued in GA

Legal business name

REHAB OF MARIETTA

Practice address

2727 Canton Road
Suite # 520
Marietta, GA 30066

Phone

(770) 795-0506

Fax

(770) 795-0392

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Lynn Middleton

Title

Billing Manager

Phone

(770) 850-0857

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Anderson, D.C.

  • Chiropractor
  • Marietta, GA
  • NPI 1811189145
  NPD (past)
• John Andrew Radin, D.C.

  • Chiropractor
  • Marietta, GA
  • NPI 1730204447
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770706483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671872",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300061872",
            "telephone_number": "770-795-0506",
            "fax_number": "770-795-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 CANTON ROAD",
            "address_2": "SUITE # 520",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30066",
            "telephone_number": "770-795-0506",
            "fax_number": "770-795-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB OF MARIETTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "770-850-0857",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Alon Regis, D.C.
• Caitlin Register, PHARMD
• Cassandra Register
• Hannah Register, LMSW
• Peggy A Register, C.N.M.
• Edna A Reid, NP
• Maria Reid, APRN
• Nancy Ellen Reid, PA-C
• Peyton Reid, RBT
• Tonia Latrell Reid, LMT

• Physical Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.