NPIMap

Organization Active NPI

Atlanta Rehabilitation and Performance Center, Inc

  • Physical Therapist
  • Cumming, GA
National Provider Identifier
1780187781
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ATLANTA REHABILITATION AND PERFORMANCE CENTER, INC
Practice address
2920 Ronald Reagan Blvd Ste 106
Cumming, GA 30041-7578
Phone
(770) 887-0502
NPI assigned
Mar 15, 2018
Last updated
Aug 27, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ATLANTA REHABILITATION AND PERFORMANCE CENTER, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Authorized official

Name
John HagyeNPI 1093808743
Title
VP/Operations
Phone
(770) 982-0102

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

2920 Ronald Reagan Blvd Ste 106
Cumming, GA 30041-7578

Mailing address

2400 Wisteria Dr Ste a
Snellville, GA 30078-2689
Phone (770) 982-0102

Other practice location 1

2920 Ronald Reagan Blvd Ste 102
Cumming, GA 30041-7578
Phone (770) 887-0502

National Provider Directory

National Provider Directory
Tax ID family
Atl Rehab Perf Ctr Inc2 organizations share this tax ID, including this one
Part of
Atl Rehab Perf Ctr Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1780187781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WISTERIA DR STE A",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782689",
            "telephone_number": "770-982-0102",
            "fax_number": "770-982-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 RONALD REAGAN BLVD STE 106",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417578",
            "telephone_number": "770-887-0502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 Ronald Reagan Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300417578",
            "country_code": "US",
            "telephone_number": "770-887-0502",
            "fax_number": "770-887-0054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLANTA REHABILITATION AND PERFORMANCE CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTA REHABILITATION AND PERFORMANCE CENTER, INC",
        "enumeration_date": "2018-03-15",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "HAGYE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP/OPERATIONS",
        "authorized_official_telephone_number": "770-982-0102"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.