Active NPI
Guided Motion, LLC
- Physical Therapy Clinic/Center
- Roswell, GA
National Provider Identifier
1821367640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT008547
- Legal business name
- GUIDED MOTION, LLC
- Practice address
- 102 Russell Rd
Roswell, GA 30075-1147 - Phone
- (678) 431-7096
- Fax
- (678) 348-7334
- NPI assigned
- Dec 22, 2011
- Last updated
- Dec 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jann Allyn Jennelle, PT, LMT
- Title
- Owner
- Phone
- (678) 431-7096
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | MT003325 | GA | |
| Physical Therapy Clinic/Center | 261QP2000X | PT008547 | GA | Primary |
Addresses
Primary practice location
102 Russell Rd
Roswell, GA 30075-1147
Mailing address
125 W Lake Dr
Roswell, GA 30075-1140
Phone (678) 431-7096
National Provider Directory
National Provider DirectoryLocations
102 Russell Rd
Roswell, GA 30075
Phone (678) 431-7096
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Roswell, GA
- NPI 1023387842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324512000000",
"number": "1821367640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 W LAKE DR",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300751140",
"telephone_number": "678-431-7096",
"fax_number": "678-348-7334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 RUSSELL RD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300751147",
"telephone_number": "678-431-7096",
"fax_number": "678-348-7334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUIDED MOTION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-22",
"last_updated": "2011-12-22",
"status": "A",
"authorized_official_last_name": "JENNELLE",
"authorized_official_first_name": "JANN",
"authorized_official_middle_name": "ALLYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-431-7096",
"authorized_official_credential": "PT, LMT"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "GA",
"license": "MT003325",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "GA",
"license": "PT008547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
- Guardian Home Care, LLC (AccentCare Home Health of Georgia)
- Guardian Personal Care Services of Georgia LLC (AccentCare Personal Care Services of Georgia)
- Suzanne H Gudakunst, DC
- Kristen Elise Gue, PA-C
- Jose Guevara, D.C.
- Sara Rae Guinn, M.M.ED, MT-BC
- Margaret G Gunter, LPC, NCC
- Vivek V. Gurudutt, MD
- Pamela Van Gutwein, PAC
- Jennifer Leonor Guzman Garcia, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.