NPIMap

Organization Active NPI

Injury and Rehab Centers of Georgia 2, LLC

  • Chiropractor
  • Loganville, GA
National Provider Identifier
1831622406
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR005705 Issued in GA
Legal business name
INJURY AND REHAB CENTERS OF GEORGIA 2, LLC
Practice address
120 Camp St Ste a
Loganville, GA 30052-3284
Phone
(770) 466-3344
NPI assigned
Apr 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Maria Leyva-Izaguirre
Title
Owner
Phone
(770) 466-3344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CHIR005705 GA Primary

Addresses

Primary practice location

120 Camp St Ste a
Loganville, GA 30052-3284

Mailing address

120 Camp St Ste a
Loganville, GA 30052-3284
Phone (770) 466-3344

National Provider Directory

National Provider Directory

Locations

120 Camp St
Ste A
Loganville, GA 30052
Phone (770) 466-3344

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1831622406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CAMP ST STE A",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300523284",
            "telephone_number": "770-466-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CAMP ST STE A",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300523284",
            "telephone_number": "770-466-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY AND REHAB CENTERS OF GEORGIA 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "LEYVA-IZAGUIRRE",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-466-3344"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.