DRIVE PHYSICAL THERAPY AND PERFORMANCE LLC (NPI# 1114561636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114561636 |
| Entity Type | Organization |
| Organization Name | DRIVE PHYSICAL THERAPY AND PERFORMANCE LLC |
| Practice Address |
700 Holcomb Bridge Rd Ste 200 Roswell GA 30076-1630 |
| Mailing Address |
136 Millstone Way Canton GA 30115-7270 |
| Practice Telephone | 8457721374 |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |
| Authorized Official Name | ANDREW ZIS (OWNER/FOUNDER) |
| Authorized Official Telephone | 8457721374 |
| Authorized Official Credential | P.T, DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE AFFILIATED | 1831625359 | 01 |
| Street Address |
700 HOLCOMB BRIDGE RD STE 200 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920696 | Michele Pond Physical Therapy LLC | Clinic/Center | 910 Marietta Hwy Ste 240, Roswell, GA 30075-6750 | 2020-04-13 |
| 1033623673 | Body G O A L S Physical Therapy & Wellness | Clinic/Center | 875 Old Roswell Rd Ste F100, Roswell, GA 30076-1658 | 2017-11-17 |
| 1619349743 | Sentry Safety and Physical Therapy Specialists, LLC | Clinic/Center | 4504 Verde Dr, Roswell, NM 88201-9159 | 2015-10-28 |
| 1437593464 | Fusion Physical Therapy, Inc | Clinic/Center | 11660 Alpharetta Hwy Ste 268, Roswell, GA 30076-3876 | 2013-04-22 |
| 1073816112 | Restore Physical Therapy and Wellness LLC | Clinic/Center | 415 Bellflower Ct, Roswell, GA 30076-3369 | 2010-12-12 |
| 1952441255 | Arc Therapy Services LLC | Clinic/Center | 1000 Applewood Dr, Roswell, GA 30076-1395 | 2007-02-07 |
| 1073563763 | Roswell Therapy Services LLC | Clinic/Center | 10929 Crabapple Rd, Roswell, GA 30075-7657 | 2006-05-11 |
| 1275150039 | Movement Pursuit LLC | Clinic/Center | 120 Park Bridge Ln, Roswell, GA 30075-3062 | 2020-06-28 |
| 1285294694 | Agilitas Usa, Inc | Clinic/Center | 10800 Alpharetta Hwy Ste 176, Roswell, GA 30076-1463 | 2019-06-18 |
| 1437438801 | Adventures In Balance, LLC | Clinic/Center | 45 W Crossville Rd, Suite 514, Roswell, GA 30075-2964 | 2011-08-16 |
| Find all providers in ROSWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.