NPIMap

Organization Active NPI

Atlanta Sport & Spine Physical Therapy

  • Physical Therapy Clinic/Center
  • Atlanta, GA
National Provider Identifier
1922294073
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT007156 Issued in GA
Legal business name
ATLANTA SPORT & SPINE PHYSICAL THERAPY
Practice address
857 Collier Rd NW
Suite 1
Atlanta, GA 30318-2532
Phone
(770) 309-4308
Fax
(404) 355-0137
NPI assigned
Sep 22, 2007
Last updated
Feb 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Lindsey S Knowles, DPTNPI 1063591741
Title
Owner / Physical Therapist
Phone
(770) 309-4308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT007156 GA Primary

Addresses

Primary practice location

857 Collier Rd NW
Suite 1
Atlanta, GA 30318-2532

Mailing address

857 Collier Rd NW
Suite 1
Atlanta, GA 30318-2532
Phone (770) 309-4308

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080208000100 GA Part B Supplier - Clinic/Group Practice 3779666185 Receives reassigned benefits from 11 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

857 Collier Rd NW
Atlanta, GA 30318
Phone (404) 351-5933

857 Collier Rd NW
Ste 1
Atlanta, GA 30318
Phone (404) 419-7760

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1190419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1922294073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 COLLIER RD NW",
            "address_2": "SUITE 1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182532",
            "telephone_number": "770-309-4308",
            "fax_number": "404-355-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 COLLIER RD NW",
            "address_2": "SUITE 1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182532",
            "telephone_number": "770-309-4308",
            "fax_number": "404-355-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA SPORT & SPINE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-22",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "KNOWLES",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER / PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "770-309-4308",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT007156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 20, 2008; 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.