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
- 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
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
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.