Functional Mobility Services LLC

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Legal business name

FUNCTIONAL MOBILITY SERVICES LLC

Practice address

4186 Duesenberg Dr
Tucker, GA 30084-7531

Phone

(770) 853-9298

NPI assigned

Mar 7, 2022

Organization subpart

No

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

Authorized official

Name

John Mitchell, PTA ASS

Title

Pta

Phone

(770) 853-9298

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1891442265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4186 DUESENBERG DR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300847531",
            "telephone_number": "770-853-9298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4186 DUESENBERG DR",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300847531",
            "telephone_number": "770-853-9298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL MOBILITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "770-853-9298",
        "authorized_official_credential": "PTA ASS"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Frazier
• Helen P Fredrick, LCSW
• Terence Andrew Frinks, M.D.
• Frontier Marketing of Georgia, Inc
• Maggie Frost, PMHNP-BC
• Ga Doctors of Optometry LLC
• Gadentalgrp, LLC
• Emily Gage
• Farhat A Garana
• Natasha Rain Garland, APC

• Physical Therapy Assistant in Tucker, GA
• Providers in Tucker, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.