Athletes in Motion LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ATHLETES IN MOTION LLC

Practice address

1180 Satellite Blvd NW
Suwanee, GA 30024-4636

Phone

(770) 865-8469

NPI assigned

Apr 25, 2024

Last updated

Apr 25, 2024By 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

Douglas Wardy, ATCNPI 1912107160

Title

Partner

Phone

(770) 865-8469

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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.

• Evan Blackburn, P.T.

  • Physical Therapist
  • Suwanee, GA
  • NPI 1154437754
  Medicare reassignment Care Compare group NPD
• Brian Matthew Tromp

  • Orthopedic Physical Therapist
  • Suwanee, GA
  • NPI 1811479108
  Medicare reassignment Care Compare group NPD
• Douglas Nolan Wardy, MA, ATC

  • Athletic Trainer
  • Suwanee, GA
  • NPI 1912107160
  NPD Authorized official

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1780430306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3771 SUWANEE PARK CIR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SATELLITE BLVD NW",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244636",
            "telephone_number": "770-865-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETES IN MOTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "WARDY",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "770-865-8469",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mikhail Atkins, DC
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• Atlanta Center for Family Psychology, LLC
• Atlanta Gastroenterology Specialists, PC
• Atlanta Men's Clinic

• Physical Therapy Clinic/Center in Suwanee, GA
• Providers in Suwanee, 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 Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.