Organization Active NPI

Immanuels Word Inc

Doing business as Body Pros Physical Therapy

  • Physical Therapy Clinic/Center
  • Alpharetta, GA
National Provider Identifier
1912949322
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
IMMANUELS WORD INC
Doing business as
Body Pros Physical Therapy
Practice address
1750 Founders Pkwy
Suite 130
Alpharetta, GA 30004-7602
Phone
(678) 624-9117
Fax
(678) 624-0747
NPI assigned
Jun 11, 2006
Last updated
Nov 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Mr. Robert J Canecchio
Title
Owner
Phone
(678) 624-9117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1750 Founders Pkwy
Suite 130
Alpharetta, GA 30004-7602

Mailing address

1750 Founders Parkway
Suite 130
Alpharetta, GA 30004-7602
Phone (678) 624-9117

Other names 1

  • Body Pros Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050505001142 GA Part B Supplier - Clinic/Group Practice 5395785620 Receives reassigned benefits from 8 practitioners
Practice locations: Dawsonville, GA; Roswell, GA; Cumming, GA

National Provider Directory

National Provider Directory

Locations

1750 Founders Pkwy
Ste 130
Alpharetta, GA 30009
Phone (678) 624-9117

1810 Peachtree Pkwy
Ste 103
Cumming, GA 30041
Phone (678) 624-9117

2120 Ronald Reagan Blvd
Ste 100
Cumming, GA 30041
Phone (678) 965-2500

6120 Georgia Highway 400
Cumming, GA 30028
Phone (678) 208-6338

142 Prestige Ln
Dawsonville, GA 30534
Phone (678) 208-6338

671 Lumpkin Campground Rd S
Ste 110
Dawsonville, GA 30534
Phone (706) 265-0070

10700 Abbotts Bridge Rd
Bldg 1
Johns Creek, GA 30097
Phone (678) 206-0222

10700 Abbotts Bridge Rd
Ste 120
Johns Creek, GA 30097

6385 McGinnis Ferry Rd
Ste 201
Johns Creek, GA 30005
Phone (678) 206-0222

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1912949322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 FOUNDERS PARKWAY",
            "address_2": "SUITE 130",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300047602",
            "telephone_number": "678-624-9117",
            "fax_number": "678-624-0747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 FOUNDERS PKWY",
            "address_2": "SUITE 130",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300047602",
            "telephone_number": "678-624-9117",
            "fax_number": "678-624-0747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMANUELS WORD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "CANECCHIO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-624-9117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Pros Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.