MULTI SPORT ORTHOTICS (NPI# 1174662605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174662605 |
| Entity Type | Organization |
| Organization Name | MULTI SPORT ORTHOTICS |
| Practice Address |
3300 Northeast Expy Ne Bldg 8, Suite B Atlanta GA 30341-3932 |
| Practice Telephone | 7705003996 |
| Mailing Telephone | 7705003996 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-05-15 |
| Authorized Official Name | JAMES FOX (PRESIDENT) |
| Authorized Official Telephone | 7705003996 |
| Authorized Official Credential | CO, ATC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | 3712 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3300 NORTHEAST EXPY NE BLDG 8, SUITE B |
| City | ATLANTA |
| State | GA |
| Zip Code | 30341-3932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578632816 | Marlysa Funderburk | Physical Therapist | 3300 Northeast Expy Ne, Building 8 Suite E, Atlanta, GA 30341-3932 | 2006-11-08 |
| 1962868620 | One On One Physical Therapy | Clinic/Center | 3300 Northeast Expy Ne, Bldg 8, Suite #c, Atlanta, GA 30341-3932 | 2016-01-12 |
| 1225339641 | Melissa Baudo | Physical Therapist | 3300 Northeast Expy Ne, Building 8, Suite E, Atlanta, GA 30341-3932 | 2010-11-17 |
| 1720393143 | Mary Beth Verlander | Physical Therapist | 3300 Northeast Expy Ne, Building 8, Suite C, Atlanta, GA 30341-3932 | 2010-08-10 |
| 1700107984 | Back 2 Motion | Clinic/Center | 3300 Northeast Expy Ne, Building 8, Suite E, Atlanta, GA 30341-3932 | 2010-06-22 |
| 1336362029 | Blair Green | Physical Therapist | 3300 Northeast Expy Ne, Building 8, Suite C, Atlanta, GA 30341-3932 | 2007-04-11 |
| 1659594596 | Savas Koutsantonis | Physical Therapist | 3300 Northeast Expy Ne, Building 8, Suite C, Atlanta, GA 30341-3932 | 2007-04-10 |
| 1841316387 | Andrea Leigh Hester | Physical Therapist | 3300 Northeast Expy Ne, Building 8, Suite C, Atlanta, GA 30341-3932 | 2007-03-22 |
| 1033263975 | Jodi Sharon Fox | Specialist/Technologist | 3300 Northeast Expy Ne, Bldg. 8, Ste. B, Atlanta, GA 30341-3932 | 2007-01-22 |
| 1194879031 | James Scott Fox | Specialist/Technologist | 3300 Northeast Expy Ne, Bldg. 8, Ste. B, Atlanta, GA 30341-3932 | 2007-01-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207344 | Rabun Marie Robertson | Occupational Therapist | 2320 Perimeter Park Drive, Atlanta, GA 30341 | 2018-03-01 |
| 1568986313 | Charles Edge IIi | Nurse Practitioner | 4770 Buford Highway, Atlanta, GA 30341 | 2017-08-02 |
| 1366971277 | Park Ridge Healthcare and Physical Medicine LLC | Nurse Practitioner | 2896 Chamblee Tucker Road, Suite 4, Atlanta, GA 30341 | 2017-06-06 |
| 1437502937 | Chara Mcgill | Counselor | 13207 Jefferson Circle N, Chamblee, GA 30341 | 2016-07-20 |
| 1982063913 | Stepping Stone of Atlanta | Community/Behavioral Health | 3705 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2016-02-18 |
| 1013317577 | Marne Day | Counselor | 3720 Chamblee Dunwoody Rd, Chamblee, GA 30341 | 2014-09-02 |
| 1013343680 | Keelan Walker | Speech-Language Pathologist | 4961 Buford Highway Suite 201, Suite 201, Chamblee, GA 30341 | 2013-09-16 |
| 1578901955 | Promonitor LLC | Electrodiagnostic Medicine | 3300 Northwest Expy Bldg 7, Atlanta, GA 30341 | 2013-06-07 |
| 1639415359 | Lawanda B Cooke | Health Educator | 5280 Peachtree Ind Blvd, Chamblee, GA 30341 | 2012-12-28 |
| 1457602773 | Arthur Macrae Wendel | Family Medicine | 4770 Buford Hwy Ms F60, Atlanta, GA 30341 | 2012-09-26 |
| Find all providers in zip 30341 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629251491 | Benjamin Valer Valena | Orthotist | 3783 Presidential Pkwy, Ste 112, Atlanta, GA 30340-3709 | 2007-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1265938716 | James Maurice Barnes | Orthotist | 6355 Peachtree Dunwoody Rd Apt 309, Sandy Springs, GA 30328-4627 | 2018-04-03 |
| 1023543246 | Eric Chen | Orthotist | 61 Whitcher St Ne Ste 2120, Marietta, GA 30060-1180 | 2017-04-25 |
| 1336572403 | Edward Gurin | Orthotist | 10985 Chandon Way, Johns Creek, GA 30097-7859 | 2013-08-13 |
| 1528308319 | Susan Grogan Semmes | Orthotist | 404 Northside Dr, Ste D, Valdosta, GA 31602-1866 | 2013-02-15 |
| 1235437187 | Kimberly Kathleen Hill | Orthotist | 598 Sweetfern Ln, Sugar Hill, GA 30518-7613 | 2011-03-02 |
| 1528216892 | Milton Renard Reed | Orthotist | 1810 Mulkey Rd Ste 202, Austell, GA 30106-1150 | 2008-08-28 |
| 1659533446 | Alphonso Bryant | Orthotist | 182 Riley Ave, Ste. B, Macon, GA 31204-0771 | 2008-07-02 |
| 1417127432 | Jacob Eric Bentley | Orthotist | 127 Enterprise Path, Ste 403, Hiram, GA 30141-2697 | 2008-03-05 |
| 1518167147 | Ivan Ruiz | Orthotist | 9690 Vantana Way, Johns Creek, GA 30022-6394 | 2007-07-22 |
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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.