Classic City Rehab LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CLASSIC CITY REHAB LLC

Practice address

184 Towns Walk Dr
Athens, GA 30606-7986

Phone

(706) 424-5921

NPI assigned

Jul 10, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Nidhi Patel, PT, DPT, CERT-DN

Title

Co-Founder

Phone

(706) 248-8706

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Classic City Rehab LLC Doing business as

Practitioners 1

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

• Jesse Aaron Zinn, PT, DPT

  • Physical Therapist
  • Tampa, FL
  • NPI 1861973752
  NPD

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598140800000",
    "number": "1942828595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 TOWNS WALK DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 TOWNS WALK DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067986",
            "telephone_number": "706-424-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC CITY REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIDHI",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "706-248-8706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CERT-DN"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-MEDICARE",
            "identifier": "1003331588",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-MEDICARE",
            "identifier": "1861973752",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Classic City Rehab LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Classic City Rehab LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Classic City Dialysis Inc
• Classic City Home Care LLC
• Classic City Internal Medicine
• Classic City OBGYN LLC
• Classic City Orthodontics
• Classic City Surgical Assistants LLC
• Rachel Corinne Clay, D.D.S.
• George Cleland, MD
• Nicholas Benjamin Clemmons
• Sarah Clemmons

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2020; 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.