NPIMap

Organization Active NPI

Physio

  • Physical Therapy Clinic/Center
  • Decatur, GA
National Provider Identifier
1811379746
Registry record updated Jun 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSIO
Practice address
2799 Lawrenceville Hwy
Suite 205
Decatur, GA 30033-2531
Phone
(770) 491-0920
Fax
(770) 491-0906
NPI assigned
Jun 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2015

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

Authorized official

Name
Ms. Elisabeth Nelson
Title
Patient Service Manager
Phone
(770) 491-0920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X GA Primary

Addresses

Primary practice location

2799 Lawrenceville Hwy
Suite 205
Decatur, GA 30033-2531

Mailing address

2799 Lawrenceville Hwy
Suite 205
Decatur, GA 30033-2531
Phone (770) 491-0920

National Provider Directory

National Provider Directory
Tax ID family
Matrix Rehabilitation-Georgia Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435363200000",
    "number": "1811379746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 LAWRENCEVILLE HWY",
            "address_2": "SUITE 205",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332531",
            "telephone_number": "770-491-0920",
            "fax_number": "770-491-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 LAWRENCEVILLE HWY",
            "address_2": "SUITE 205",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332531",
            "telephone_number": "770-491-0920",
            "fax_number": "770-491-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-27",
        "last_updated": "2015-06-27",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_title_or_position": "PATIENT SERVICE MANAGER",
        "authorized_official_telephone_number": "770-491-0920",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2015; 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.