NPIMap

Organization Active NPI

Esop Rehabilitation, LLC

Doing business as Emory & Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Cumming, GA
National Provider Identifier
1962824177
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ESOP REHABILITATION, LLC
Doing business as
Emory & Select Physical Therapy
Emory Rehabilitation Outpatient Center
Practice address
565 Lakeland Plaza
Cumming, GA 30040-2784
Phone
(770) 889-8758
Fax
(770) 887-6413
NPI assigned
Jan 8, 2014
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Authorized official

Name
John F Duggan
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 1

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

Addresses

Primary practice location

565 Lakeland Plaza
Cumming, GA 30040-2784

Mailing address

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Other practice location 1

2700 Braselton Hwy Ste 19
Dacula, GA 30019-3263
Phone (678) 714-8020

Other practice location 2

1365C Clifton Rd NE Ste C1012
Atlanta, GA 30322-1013
Phone (470) 870-8260

Other names 2

  • Emory & Select Physical Therapy Doing business as
  • Emory Rehabilitation Outpatient Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140807001863 GA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 9739305749 2 other NPIs on this enrollment
Practice locations: Snellville, GA; Cumming, GA; Atlanta, GA; Dacula, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962824177. Details of each certification follow.

  • CCN 116648 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 116648

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
EMORY REHABILITATION OUTPATIENT CENTER- CUMMING
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Jul 23, 1991
Last certification
Jan 8, 2026
Ownership / control type
Proprietary
Facility address
565 Lakeland Plaza
Cumming, GA 30040

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1962824177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 LAKELAND PLAZA",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402784",
            "telephone_number": "770-889-8758",
            "fax_number": "770-887-6413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Braselton Hwy Ste 19",
            "address_purpose": "LOCATION",
            "city": "Dacula",
            "state": "GA",
            "postal_code": "300193263",
            "country_code": "US",
            "telephone_number": "678-714-8020",
            "fax_number": "678-714-8030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1365C Clifton Rd NE Ste C1012",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303221013",
            "country_code": "US",
            "telephone_number": "470-870-8260",
            "fax_number": "470-870-8261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ESOP REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-08",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emory & Select Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Emory Rehabilitation Outpatient Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.