Canton Institute for Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT001493 Issued in GA

Legal business name

CANTON INSTITUTE FOR PHYSICAL THERAPY, LLC

Practice address

147 Reinhardt College Parkway
Suite 9
Canton, GA 30114-0520

Phone

(770) 345-3057

NPI assigned

May 23, 2006

Last updated

Aug 17, 2017By 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

Judith Rossi, PHYSICAL THERAPISTNPI 1801852801

Title

Owner

Phone

(770) 345-3057

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Judith Starr Rossi, PT

  • Physical Therapist
  • Canton, GA
  • NPI 1801852801
  Authorized official Same address or phone
• Gary A Shankman, PTA

  • Physical Therapy Assistant
  • Canton, GA
  • NPI 1891065637
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1801841374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 REINHARDT COLLEGE PARKWAY",
            "address_2": "SUITE 9",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301140520",
            "telephone_number": "770-345-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 REINHARDT COLLEGE PARKWAY",
            "address_2": "SUITE 9",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301140520",
            "telephone_number": "770-345-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON INSTITUTE FOR PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-345-3057",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT001493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "908731",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Canton Counseling, LLC
• Canton Dental, LLC
• Canton Endodontics,LLC
• Canton Eye Surgery Center
• Canton Family Care
• Canton Market Place Medical, LLC
• Canton Marketplace Dentistry LLC
• Canton Northside Pharmacy Inc (Canton Northside Pharmacy)
• Canton Opco, LLC (The Landings of Canton Hills)
• Canton Orthodontics LLC

• Physical Therapy Clinic/Center in Canton, GA
• Providers in Canton, 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 Aug 17, 2017; 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.