Organization Active NPI

Care Rehabilitation Physical Therapy Services, Inc.

  • Physical Therapist
  • Griffin, GA
National Provider Identifier
1912013608
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
000778 Issued in GA
Legal business name
CARE REHABILITATION PHYSICAL THERAPY SERVICES, INC.
Practice address
686 S 8TH St
Griffin, GA 30224-4214
Phone
(770) 229-5068
Fax
(770) 228-8353
NPI assigned
Aug 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Janice Sue Souto, P.T.
Title
President
Phone
(770) 229-5068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 000778 GA Primary

Addresses

Primary practice location

686 S 8TH St
Griffin, GA 30224-4214

Mailing address

686 S 8TH St
Griffin, GA 30224-4214
Phone (770) 229-5068

Other identifiers 2

IdentifierTypeStateIssuer
55003497AMedicaidGA
00802865AMedicaidGA

Other names 1

  • Care Rehab Other name

National Provider Directory

National Provider Directory

Locations

686 S 8th St
Griffin, GA 30224
Phone (770) 229-5068

153 N Park Trl
Stockbridge, GA 30281
Phone (770) 474-8800

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912013608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244214",
            "telephone_number": "770-229-5068",
            "fax_number": "770-228-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 S 8TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302244214",
            "telephone_number": "770-229-5068",
            "fax_number": "770-228-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE REHABILITATION PHYSICAL THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOUTO",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-229-5068",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "000778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55003497A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00802865A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Rehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Griffin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.