NPIMap

Organization Active NPI

Senior Mobility, Inc.

  • Physical Therapist
  • Tucker, GA
National Provider Identifier
1780890848
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7053 Issued in GA
Legal business name
SENIOR MOBILITY, INC.
Practice address
3765 Gleneagles LN
Tucker, GA 30084-2428
Phone
(404) 272-5222
Fax
(770) 939-2282
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Susan Van Volkenburg, PTNPI 1316151707
Title
President
Phone
(404) 272-5222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 7053 GA Primary

Addresses

Primary practice location

3765 Gleneagles LN
Tucker, GA 30084-2428

Mailing address

3765 Gleneagles LN
Tucker, GA 30084-2428
Phone (404) 272-5222

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780890848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3765 GLENEAGLES LN",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300842428",
            "telephone_number": "404-272-5222",
            "fax_number": "770-939-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3765 GLENEAGLES LN",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300842428",
            "telephone_number": "404-272-5222",
            "fax_number": "770-939-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR MOBILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN VOLKENBURG",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-272-5222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "7053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • 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.