Organization Active NPI

Rehab Atlanta, Inc.

  • Rehabilitation Practitioner
  • Roswell, GA
National Provider Identifier
1972635175
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
026588 Issued in GA
Legal business name
REHAB ATLANTA, INC.
Practice address
11685 Alpharetta Hwy
Suite 155
Roswell, GA 30076-4913
Phone
(770) 442-0836
Fax
(770) 664-0985
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Dr. Wesley Burton McDaniel II, M.D.
Title
Owner
Phone
(770) 442-0836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225400000X 026588 GA Primary

Addresses

Primary practice location

11685 Alpharetta Hwy
Suite 155
Roswell, GA 30076-4913

Mailing address

11685 Alpharetta Hwy
Suite 155
Roswell, GA 30076-4913
Phone (770) 442-0836

Other identifiers 1

IdentifierTypeStateIssuer
CC9720OtherGARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

11685 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 442-0836

11685 Alpharetta Hwy
Ste 155
Roswell, GA 30076
Phone (770) 442-0836

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1972635175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11685 ALPHARETTA HWY",
            "address_2": "SUITE 155",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764913",
            "telephone_number": "770-442-0836",
            "fax_number": "770-664-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11685 ALPHARETTA HWY",
            "address_2": "SUITE 155",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764913",
            "telephone_number": "770-442-0836",
            "fax_number": "770-664-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB ATLANTA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "BURTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-442-0836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "GA",
            "license": "026588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC9720",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 20, 2008; 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.