Atlanta South Physical Therapy, Inc
Organization Active NPI Physical Therapist · Lawrenceville, GA
NPI 1922051564 · NPPES record last updated Apr 29, 2008
Key facts
- NPI
- 1922051564
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ATLANTA SOUTH PHYSICAL THERAPY, INC
- Practice address
- 310 Philip Blvd
Suite 102
Lawrenceville, GA 30045-8700 - Phone
- (678) 985-0238
- Fax
- (678) 985-0136
- NPI assigned
- May 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Troy Bage
- Title
- President
- Phone
- (423) 238-7217
Other NPIs on the same Medicare enrollment 16
Practitioners 287
-
Genevieve Abi-Sarkis, MS. PT.
-
Trenton Adamson, PT
-
Folasade Aduke Adeleye, PT, MPT
-
Andree Akst, PT
-
Ryan Thomas Albright, OTR/L
-
Kennedy Allen, DPT
-
Shelby Gutierrez Allen, PT, DPT
-
Shaunta Andrews, DPT
-
Taryn Anthony, PT, DPT
-
Barry Arem, P.T.
-
Ty Balty, PT, DPT
-
Darcy Suzanne Bassett, PT, DPT
-
Madison Baucom, DPT
-
Sara Kristi Beasley, MOT OTR/L
-
Erika Anne Belmore, PT, DPT
-
Aaron Jarrod Bingham, PT, DPT
-
Bryce Scott Boeke, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050921001120 | GA | Part B Supplier - Clinic/Group Practice | 1557395209 |
Receives reassigned benefits from 760 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Newnan, GA; Peachtree City, GA; Riverdale, GA; Snellville, GA; Stockbridge, GA; Cumming, GA; Jonesboro, GA; Fayetteville, GA… |
National Provider Directory
Locations
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
310 Philip Blvd
Suite 102
Lawrenceville, GA 30045-8700
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD7784 | Other | GA | RAILROAD MEDICARE GROUP PROVIDER # |
Other names
- Rehab South
Other providers in Lawrenceville, GA
- Atlanta Gwinnett Women'S Specialists
- Atlanta Hand Therapy LLC
- Atlanta Healthcare Staffing
- Atlanta Neurolink, LLC
- Atlanta Rehabilitation and Performance Center
- Atlanta Surgical Assistant,LLC.
- Atlanta Vamc
- Atlanta Vamc
- Atlanta Vascular and Vein Center, LLC
- Atlanta Wellness Initiative
All providers in Lawrenceville, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.