Organization Active NPI

The Center for the Physically Active

  • Physical Therapy Clinic/Center
  • Decatur, GA
National Provider Identifier
1922236090
Registry record updated Jun 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
000392 Issued in GA
Legal business name
THE CENTER FOR THE PHYSICALLY ACTIVE
Doing business as
The Center for the Physically Active
Practice address
5000 Snapfinger Woods Dr
Suite B-13
Decatur, GA 30035-4085
Phone
(678) 418-0066
Fax
(678) 418-0122
NPI assigned
Jun 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2009

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

Authorized official

Name
Claude McCants, ATC, LAT
Title
Clinical Director
Phone
(678) 418-0066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 000392 GA Primary

Addresses

Primary practice location

5000 Snapfinger Woods Dr
Suite B-13
Decatur, GA 30035-4085

Mailing address

5000 Snapfinger Woods Dr
Suite B-13
Decatur, GA 30035-4085
Phone (678) 418-0066

Other names 1

  • The Center for the Physically Active Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Onecare Physical Therapyand Sports Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246233600000",
    "number": "1922236090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 SNAPFINGER WOODS DR",
            "address_2": "SUITE B-13",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354085",
            "telephone_number": "678-418-0066",
            "fax_number": "678-418-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 SNAPFINGER WOODS DR",
            "address_2": "SUITE B-13",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354085",
            "telephone_number": "678-418-0066",
            "fax_number": "678-418-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR THE PHYSICALLY ACTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-06-29",
        "status": "A",
        "authorized_official_last_name": "MCCANTS",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_title_or_position": "CLINICAL  DIRECTOR",
        "authorized_official_telephone_number": "678-418-0066",
        "authorized_official_credential": "ATC, LAT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "000392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for the Physically Active",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; 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.