Organization Active NPI

Injury Prevention & Management Consulting LLC

Doing business as Highland Park Physical Therapy

  • Orthopedic Physical Therapist
  • Atlanta, GA
National Provider Identifier
1912988098
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT005771 Issued in GA
Legal business name
INJURY PREVENTION & MANAGEMENT CONSULTING LLC
Doing business as
Highland Park Physical Therapy
Practice address
1 Dunwoody Park
Suite 121
Atlanta, GA 30338-6202
Phone
(404) 966-9181
Fax
(770) 394-4110
NPI assigned
Nov 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Mr. Marc Alan Yeager, PT
Title
President - Principle
Phone
(404) 966-9181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X PT005771 GA Primary

Addresses

Primary practice location

1 Dunwoody Park
Suite 121
Atlanta, GA 30338-6202

Mailing address

4514 Chamblee Dunwoody Rd
Suite 140
Atlanta, GA 30338-6202
Phone (404) 966-9181

Other names 1

  • Highland Park Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

4514 Chamblee Dunwoody Rd
Ste 140
Atlanta, GA 30338

1 Dunwoody Park
Ste 121
Atlanta, GA 30338
Phone (404) 966-9181

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1912988098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 CHAMBLEE DUNWOODY RD",
            "address_2": "SUITE 140",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386202",
            "telephone_number": "404-966-9181",
            "fax_number": "404-249-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DUNWOODY PARK",
            "address_2": "SUITE 121",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386202",
            "telephone_number": "404-966-9181",
            "fax_number": "770-394-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY PREVENTION & MANAGEMENT CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "YEAGER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT - PRINCIPLE",
        "authorized_official_telephone_number": "404-966-9181",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT005771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Park Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.