Organization Active NPI

Michele Pond Physical Therapy LLC

Doing business as PhysioOne

  • Physical Therapy Clinic/Center
  • Roswell, GA
National Provider Identifier
1952920696
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
MICHELE POND PHYSICAL THERAPY LLC
Doing business as
PhysioOne
Practice address
910 Marietta Hwy Ste 240
Roswell, GA 30075-6750
Phone
(773) 551-1207
NPI assigned
Apr 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Authorized official

Name
Mrs. Michele Lynn Pond, PTNPI 1992022784
Title
Physical Therapist/Owner
Phone
(773) 551-1207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

910 Marietta Hwy Ste 240
Roswell, GA 30075-6750

Mailing address

4429 Dunmore Rd NE
Marietta, GA 30068-4224
Phone (773) 551-1207

Other names 1

  • PhysioOne Doing business as

National Provider Directory

National Provider Directory

Locations

910 Marietta Hwy
Ste 240
Roswell, GA 30075
Phone (773) 551-1207

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1952920696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4429 DUNMORE RD NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684224",
            "telephone_number": "773-551-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MARIETTA HWY STE 240",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300756750",
            "telephone_number": "773-551-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE POND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "POND",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "773-551-1207",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PhysioOne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.