Organization Active NPI

Beyond Rehabilitation PC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Mableton, GA
National Provider Identifier
1972941839
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
Legal business name
BEYOND REHABILITATION PC
Practice address
1376 Lamont Dr SW
Mableton, GA 30126-1182
Phone
(404) 483-7081
NPI assigned
Jun 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Authorized official

Name
Mr. Spencer Wingate, P.T, D.P.T
Title
Owner
Phone
(404) 483-7081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081S0010X Primary

Addresses

Primary practice location

1376 Lamont Dr SW
Mableton, GA 30126-1182

Mailing address

PO Box 1787
Mableton, GA 30126-1013
Phone (404) 483-7081

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1972941839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1787",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301261013",
            "telephone_number": "404-483-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1376 LAMONT DR SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301261182",
            "telephone_number": "404-483-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "WINGATE",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-483-7081",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T, D.P.T"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.