Golden Days Wellness Training LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009520 Issued in GA

Legal business name

GOLDEN DAYS WELLNESS TRAINING LLC

Practice address

9194 Tarnwood Cir
Villa Rica, GA 30180-8447

Phone

(404) 931-6242

NPI assigned

Mar 12, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Soneka Lee, DPTNPI 1275807901

Title

Physical Therapy

Phone

(404) 931-6242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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

• Soneka Jacquette Lee, DPT

  • Physical Therapist
  • Moreland, GA
  • NPI 1275807901
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1489276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1841731700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9194 TARNWOOD CIR",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301808447",
            "telephone_number": "404-931-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9194 TARNWOOD CIR",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301808447",
            "telephone_number": "404-931-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN DAYS WELLNESS TRAINING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-12",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SONEKA",
        "authorized_official_title_or_position": "PHYSICAL THERAPY",
        "authorized_official_telephone_number": "404-931-6242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Cancer Specialists I PC
• Georgia CVS Pharmacy LLC (CVS Pharmacy# 05637)
• John Brian Gibson, MA, LPC, CPCS
• Richard Glass, M.D.
• Sarah Kate Godfrey, M. ED. CCC-SLP
• Evangelio Gonzalez, MD
• Laura B Gordon
• Kathleen Grace, DC
• Kesha Greene, LPC
• Ashley Taylor Grimberg, FNP-BC

• Physical Therapist in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.