SOVEREIGN REHABILITATION OF GEORGIA, LLC (NPI# 1326210840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326210840 |
Entity Type | Organization |
Organization Name | SOVEREIGN REHABILITATION OF GEORGIA, LLC |
Other Organization Name | CENTERS FOR ORTHOPEDIC REHAB |
Practice Address |
495 Winn Way Suite 120 Decatur GA 30030-1736 |
Mailing Address |
5555 Peachtree Dunwoody Rd Ne Suite 201 Atlanta GA 30342-1703 |
Practice Telephone | 4043890077 |
Practice Fax Number | 4043890082 |
Mailing Telephone | 4048353343 |
Mailing Fax Number | 4042071391 |
Enumeration Date | 2008-03-25 |
Last Update Date | 2008-09-15 |
Authorized Official Name | ALAN J GRODIN (PRESIDENT) |
Authorized Official Telephone | 4048353343 |
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 |
Other Name | Type Code |
---|---|
CENTERS FOR ORTHOPEDIC REHAB | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215109749 | Sovereign Rehabilitation of Georgia, LLC | Clinic/Center | 3541 Highway 81, Loganville, GA 30052-4336 | 2008-03-25 |
1588836019 | Sovereign Rehabilitation of Georgia, LLC | Clinic/Center | 439 Sigman Rd Nw, Suite D, Conyers, GA 30012-3653 | 2008-03-25 |
1194267260 | Sovereign Rehabilitation of Georgia, LLC | Physical Therapist | 1301 Sigman Rd Ne, Suite 220, Conyers, GA 30012-3812 | 2016-11-07 |
1407028921 | Sovereign Rehabilitation of Georgia, LLC | Occupational Therapist | 3280 Howell Mill Rd Nw, Suite 345, Atlanta, GA 30327-4111 | 2008-03-25 |
1144492661 | Sovereign Rehabilitation of Georgia, LLC | Clinic/Center | 595 Hurricane Shoals Rd Nw, Suite 100, Lawrenceville, GA 30045-4426 | 2008-03-25 |
1376756197 | Sovereign Rehabilitation of Georgia, LLC | Occupational Therapist | 5555 Peachtree Dunwoody Rd Ne, Suite 201, Atlanta, GA 30342-1703 | 2007-05-08 |
Street Address |
495 WINN WAY SUITE 120 |
City | DECATUR |
State | GA |
Zip Code | 30030-1736 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033295589 | Physiotherapy Asssociates Inc | Clinic/Center | 495 Winn Way, Suite 250, Decatur, GA 30030-1736 | 2006-10-27 |
1124562301 | Chryston Mays | Physical Therapist | 495 Winn Way, Suite 120, Decatur, GA 30030-1736 | 2016-12-07 |
1255886024 | Scott Leaderman | Physical Therapist | 495 Winn Way, Ste 120, Decatur, GA 30030-1736 | 2016-08-22 |
1912301003 | Usa Vein Clinics of Decatur LLC | Surgery | 495 Winn Way, Suite 220, Decatur, GA 30030-1736 | 2014-10-17 |
1548692254 | Emily Ann Hermes | Podiatrist | 495 Winn Way, Suite 100, Decatur, GA 30030-1736 | 2013-08-05 |
1811242993 | John Davis Fleck | Physical Therapist | 495 Winn Way, Suite 250, Decatur, GA 30030-1736 | 2012-07-16 |
1629333968 | Kevin Michael Hurley | Physical Therapist | 495 Winn Way, Suite 250, Decatur, GA 30030-1736 | 2012-07-12 |
1730475146 | Molly E Shapiro | Speech-Language Pathologist | 495 Winn Way, Suite 210, Decatur, GA 30030-1736 | 2011-06-23 |
1134459209 | Marvan Howard Porter | Physical Therapist | 495 Winn Way, Decatur, GA 30030-1736 | 2010-01-12 |
1265687149 | Chc Fulton Cmhc, LLC | Community/Behavioral Health | 495 Winn Way, Suite 120, Decatur, GA 30030-1736 | 2008-11-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
Find all providers in zip 30030 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619456019 | Atlanta Physical Therapy | Clinic/Center | 338 Hillcrest Ave Apt E, Decatur, GA 30030-2068 | 2018-08-07 |
1588115984 | Encore Rehab of Priceville | Clinic/Center | 1794 S Bethel Rd, Suite C, Decatur, AL 35603-5410 | 2016-10-20 |
1730635087 | Elite Physical Therapy and Wellness, Inc. | Clinic/Center | 135 7th St, Decatur, MS 39327 | 2016-08-28 |
1427451244 | Michael Henry Jr. | Clinic/Center | 4153 Flat Shoals Pkwy Building C, Suite 300 A, Decatur, GA 30034-4106 | 2014-10-07 |
1962841064 | Decatur Physical Therapy & Sports Medicine | Clinic/Center | 487 Winn Way Ste 201, Decatur, GA 30030-1728 | 2013-06-21 |
1437492725 | Agilitas Usa Inc | Clinic/Center | 1241 Pt Mallard Pkwy Ste 201, Decatur, AL 35601-6555 | 2013-04-04 |
1295922193 | Stay Strong Solution, LLC | Clinic/Center | 117 Running Bear Trail, Decatur, TX 76234 | 2007-09-25 |
1558583708 | Active Physical Therapy, Inc. | Clinic/Center | 2424 Danville Rd. Sw, Ste M, Decatur, AL 35603 | 2007-05-03 |
1003819608 | Encore Rehabilitation, Inc | Clinic/Center | 251 Johnston St, Suite 300, Decatur, AL 35601-2515 | 2005-05-27 |
1871032243 | Peak Physical Therapy and Wellness | Clinic/Center | 216 Johnston St Se, Decatur, AL 35601-2516 | 2017-02-18 |
Find all providers in DECATUR |
Please comment or provide details below to improve the information on SOVEREIGN REHABILITATION OF GEORGIA, LLC.
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.