Core Independence LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT005325 Issued in GA

Legal business name

CORE INDEPENDENCE LLC

Practice address

4150 George Busbee Pkwy NW
Kennesaw, GA 30144-0800

Phone

(678) 206-6201

NPI assigned

Mar 24, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Nagy, OT

Title

Owner

Phone

(954) 816-3130

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dawn B Dahlen, P.T.

  • Orthopedic Physical Therapist
  • Cumming, GA
  • NPI 1922174259
  Medicare reassignment Care Compare group NPD
• Jessica Marie Schaff, OTR/L

  • Pediatric Occupational Therapist
  • Cumming, GA
  • NPI 1033362496
  Medicare reassignment Care Compare group NPD
• Leslie Haberman, COTA

  • Occupational Therapy Assistant
  • Cumming, GA
  • NPI 1457908337
  NPD
• Alison Lucas

  • Speech-Language Pathologist
  • Cumming, GA
  • NPI 1346886090
  NPD
• Wendy Blake, SLP

  • Speech-Language Pathologist
  • Canton, GA
  • NPI 1609010529
  NPD (past)

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1922425396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 SCOTSHIRE WAY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300407396",
            "telephone_number": "954-816-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 GEORGE BUSBEE PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301440800",
            "telephone_number": "678-206-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE INDEPENDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "NAGY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-816-3130",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT005325",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005289",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "OT005289",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "OT005289",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bailey Michael Cooper
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• Jasmine Copeland
• Seana Corbett, OD
• Dalfa Pich Core, CPNP-AC
• Cornerstone Caregiving East LLC
• Corporate Health Partners, LLC
• Portia A. Cosby, ATC
• Serena Cosmo, MA

• Physical Therapist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.