Foundation Physical Therapy, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FOUNDATION PHYSICAL THERAPY, LLC

Practice address

619 Edgewood Ave SE Ste T101
Atlanta, GA 30312-1987

Phone

(404) 565-4064

Fax

(678) 550-9303

NPI assigned

May 2, 2022

Last updated

Sep 19, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Reginald Maclwod, DPT

Title

Owenr

Phone

(678) 446-8269

Specialties & licenses 1

Addresses

Locations

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.

• Matthew Macleod, DPT

  • Physical Therapist
  • Atlanta, GA
  • NPI 1699174821
  NPD

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1851036057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 EDGEWOOD AVE SE STE T101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121987",
            "telephone_number": "404-565-4064",
            "fax_number": "678-550-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 EDGEWOOD AVE SE STE T101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121987",
            "telephone_number": "404-565-4064",
            "fax_number": "678-550-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-02",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "MACLWOD",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "REGINALD",
        "authorized_official_title_or_position": "OWENR",
        "authorized_official_telephone_number": "678-446-8269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ollie W Foston, RN, NP
• Tenita Phillips Foston, FNP-C
• Lauren Brooks Foti, PHYSICIAN ASSISTANT
• Margaret Foulk, MS, LPC, CRC
• James Dale Foulks, PH.D.
• Foundation Psychiatry, P.C.
• Foundation Therapy Center - North Atlanta, LLC
• Foundations Atlanta, LLC
• Fountain Family Inc (Homewatch CareGivers Atlanta East)
• Fountain Oaks Dental P.C.

• Physical Therapy Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.