Gwinnett Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003089 Issued in GA

Legal business name

GWINNETT PHYSICAL THERAPY

Practice address

1305 Water Shine Way
Snellville, GA 30078-7380

Phone

(770) 972-8536

NPI assigned

Jun 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Roopa M Desai, PTNPI 1548266760

Title

Director

Phone

(770) 972-8536

Specialties & licenses 1

Addresses

Locations

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.

• Roopa M Desai, PT

  • Physical Therapist
  • Snellville, GA
  • NPI 1548266760
  Authorized official Same address or phone

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992745764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WATER SHINE WAY",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787380",
            "telephone_number": "770-972-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WATER SHINE WAY",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787380",
            "telephone_number": "770-972-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "ROOPA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-972-8536",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "003089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gwinnett Orthopedics PC (Atlanta Orthopedics)
• Gwinnett Psychotherapy and Psychiatry
• William D. Haberstroh, D.O.
• Hawabu Bawa Habib
• Habilicare LLC
• Sara Habte

• Physical Therapist in Snellville, GA
• Providers in Snellville, 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 22, 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.