Atlanta Human Performance Center

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

000168 Issued in GA

Legal business name

ATLANTA HUMAN PERFORMANCE CENTER

Practice address

3250 Hogan Rd SW
Atlanta, GA 30331-2830

Phone

(404) 346-1526

Fax

(404) 346-0729

NPI assigned

Aug 5, 2006

Last updated

Feb 10, 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. Keith E Evans, MD, PT, DPTNPI 1518080977

Title

Director/Owner

Phone

(404) 346-1526

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 5

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.

• Keith E. Evans, P.T., DPT

  • Physical Therapist
  • Atlanta, GA
  • NPI 1518080977
  Medicare reassignment NPD Authorized official
• Clifford E. Sams Jr., P.T.

  • Physical Therapist
  • Atlanta, GA
  • NPI 1477850899
  NPD
• Phyllis M. Arnold, PTA

  • Physical Therapy Assistant
  • Atlanta, GA
  • NPI 1851672786
  NPD (past)
• Ydrecious Labaron Milner, PTA

  • Physical Therapy Assistant
  • Atlanta, GA
  • NPI 1770078164
  NPD (past)
• Aaron Alexander Strong, MPT

  • Physical Therapist
  • Atlanta, GA
  • NPI 1134385263
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1871502229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 HOGAN RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312830",
            "telephone_number": "404-346-1526",
            "fax_number": "404-346-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 HOGAN RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312830",
            "telephone_number": "404-346-1526",
            "fax_number": "404-346-0729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3015 Camp Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "East Point",
            "state": "GA",
            "postal_code": "303445701",
            "country_code": "US",
            "telephone_number": "404-446-1224",
            "fax_number": "404-228-2481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLANTA HUMAN PERFORMANCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "404-346-1526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "000168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.