Cimarron Physical Therapy Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CIMARRON PHYSICAL THERAPY INC

Practice address

10160 Medlock Bridge Rd
Ste B
Johns Creek, GA 30097-4419

Phone

(678) 584-1622

Fax

(678) 584-1673

NPI assigned

Dec 14, 2006

Last updated

Apr 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Nicholas Arroyo, PT, ATCNPI 1477587475

Title

Chief Financial Offier

Phone

(678) 584-1622

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 4

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.

• Stephen Nicholas Arroyo, PT ATC

  • Physical Therapist
  • Johns Creek, GA
  • NPI 1477587475
  NPD (past) Authorized official
• Eric Golden Lea, MPT

  • Physical Therapist
  • Cumming, GA
  • NPI 1598790883
  NPD (past)
• Jeffrey Michael Olivo, P.T.

  • Orthopedic Physical Therapist
  • Duluth, GA
  • NPI 1629253851
  NPD (past)
• Michael Andrew Polascik, PT ATC

  • Physical Therapist
  • Macon, GA
  • NPI 1609899558
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1942362256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 923387",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300103387",
            "telephone_number": "678-584-1622",
            "fax_number": "678-584-1673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10160 MEDLOCK BRIDGE RD",
            "address_2": "STE B",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974419",
            "telephone_number": "678-584-1622",
            "fax_number": "678-584-1673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIMARRON PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "ARROYO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFIER",
        "authorized_official_telephone_number": "678-584-1622",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO POS",
            "identifier": "5077047",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS STEPHEN A DULUTH",
            "identifier": "921449",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0554607",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meenakshi Chugh
• Michelle Chun
• Gene Chung, DMD
• Jane M Chung, MD
• Rebecca C Ciccarelli, MS CCC/SLP
• City Dental Clinic 247 LTD (City Dental Clinic)
• CKS Loving Care LLC (Acti-Kare Responsive In-Home Care)
• Kirsten Coffey Clarke, MS, CCC-SLP
• Natalie Lauren Clericuzio, MD
• Linda P Cobaugh, MMT, MT-BC

• Physical Therapy Clinic/Center in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.