Physical Medicine Centers of America LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

PHYSICAL MEDICINE CENTERS OF AMERICA LLC

Practice address

25 Foothills Pkwy
103
Marble Hill, GA 30148-2261

Phone

(770) 894-4950

Fax

(770) 894-4951

NPI assigned

Apr 7, 2012

Organization subpart

No

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

Authorized official

Name

Joellen Dreyfus, DCNPI 1659411163

Title

Owner

Phone

(770) 894-4950

Specialties & licenses 2

Addresses

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.

• Joellen L Dreyfus, D.C.

  • Chiropractor
  • Marble Hill, GA
  • NPI 1659411163
  NPD (past) Authorized official
• David L Marshall, D.C.

  • Chiropractor
  • Canton, GA
  • NPI 1578741799
  NPD (past)

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

{
    "created_epoch": "1333756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333756800000",
    "number": "1811253487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 FOOTHILLS PKWY",
            "address_2": "103",
            "city": "MARBLE HILL",
            "state": "GA",
            "postal_code": "301482261",
            "telephone_number": "770-894-4950",
            "fax_number": "770-894-4951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 FOOTHILLS PKWY",
            "address_2": "103",
            "city": "MARBLE HILL",
            "state": "GA",
            "postal_code": "301482261",
            "telephone_number": "770-894-4950",
            "fax_number": "770-894-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE CENTERS OF AMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-07",
        "last_updated": "2012-04-07",
        "status": "A",
        "authorized_official_last_name": "DREYFUS",
        "authorized_official_first_name": "JOELLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-894-4950",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasper Drug Store at Foothills
• Ravi Karan, D.C.
• Marie L. Loscavio, ED.D.
• Darrell Morton, DMD
• Barbara Peterson, MHA, MA, CCC-SLP
• Rebecca F. Stephens, PH.D.
• David Wells, DDS

• Physical Medicine & Rehabilitation Physician in Marble Hill, GA
• Providers in Marble Hill, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2012; 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.