Organization Active NPI

Guided Motion, LLC

  • Physical Therapy Clinic/Center
  • Roswell, GA
National Provider Identifier
1821367640
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT008547 Issued in GA
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Directory

Locations

102 Russell Rd
Roswell, GA 30075
Phone (678) 431-7096

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

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.

Verify at the official NPI Registry.