SUNDANCE REHABILITATION AGENCY, LLC (NPI# 1508281411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508281411 |
| Entity Type | Organization |
| Organization Name | SUNDANCE REHABILITATION AGENCY, LLC |
| Practice Address |
135 Hoyt St Athens GA 30601-2646 |
| Mailing Address |
100 E State St Kennett Square PA 19348-3110 |
| Practice Telephone | 7065494850 |
| Practice Fax Number | 7065497786 |
| Mailing Telephone | 8008158577 |
| Mailing Fax Number | 6106125123 |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2019-02-21 |
| Authorized Official Name | LOUISE ANN SOIKA (SVP) |
| Authorized Official Telephone | 6109254088 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760437743 | Sundance Rehabilitation Agency, LLC | Clinic/Center | 11405 Medlock Bridge Rd, Johns Creek, GA 30097-1688 | 2006-05-24 |
| 1235556945 | Sundance Rehabilitation Agency, LLC | Clinic/Center | 2280 Highway 29 N, Newnan, GA 30265-1031 | 2014-03-20 |
| 1740341395 | Sundance Rehabilitation Agency, LLC | Physical Therapist | 50 W Main St, Hopkinton, MA 01748-1672 | 2006-12-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SUNDANCE REHABILITATION AGENCY, LLC | 300 Deschutes Way Sw #304, Olympia, WA 98501 |
| Street Address |
135 HOYT ST |
| City | ATHENS |
| State | GA |
| Zip Code | 30601-2646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922260843 | Nancy G Conn | Occupational Therapist | 135 Hoyt St, Athens, GA 30601-2646 | 2008-07-01 |
| 1629609102 | Natalie Marie Difrancesco | Occupational Therapist | 135 Hoyt St, Athens, GA 30601-2646 | 2020-02-03 |
| 1265900229 | Kadi Altman | Occupational Therapy Assistant | 135 Hoyt St, Athens, GA 30601-2646 | 2018-11-07 |
| 1245787019 | James Rhodes | Physical Therapy Assistant | 135 Hoyt St, Athens, GA 30601-2646 | 2016-09-08 |
| 1386007540 | Micah Looney | Occupational Therapy Assistant | 135 Hoyt St, Athens, GA 30601-2646 | 2016-04-04 |
| 1306202544 | Teri J Caulfield | Contractor | 135 Hoyt St, Athens, GA 30601-2646 | 2016-01-04 |
| 1720467517 | Chontanite Robinson | Occupational Therapist | 135 Hoyt St, Athens, GA 30601-2646 | 2015-05-26 |
| 1578957668 | Jodi Swint | Speech-Language Pathologist | 135 Hoyt St, Athens, GA 30601-2646 | 2015-03-26 |
| 1760870620 | Melissa Evers | Occupational Therapist | 135 Hoyt St, Athens, GA 30601-2646 | 2014-12-30 |
| 1750628624 | Patricia Mogan | Physical Therapy Assistant | 135 Hoyt St, Athens, GA 30601-2646 | 2013-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154971679 | Classic City Counseling & Consultation LLC | Psychologist | 159 Oneta St., Unit 1a Suite 7, Athens, GA 30601 | 2019-09-17 |
| 1982172433 | Smith Dental Care of Athens Inc. | Clinic/Center | 801 Us Highway 29 North, Athens, GA 30601 | 2018-11-02 |
| 1356865935 | Elizabeth Anne Price | Pharmacist | 9249 Hwy 29, Athens Community Based Outpatient Va Clinic, Athens, GA 30601 | 2017-07-26 |
| 1386011575 | Janna Barham Cleveland | Nurse Practitioner | 496 Reese Street, Athens, GA 30601 | 2015-08-24 |
| 1295113769 | Brent Dillin Temple | Case Manager/Care Coordinator | 9249 Highway 29 North, Athens, GA 30601 | 2015-05-15 |
| 1356736417 | Brett Magner | Family Medicine | 855 W Broad St Ste 1, Athens, GA 30601 | 2015-04-05 |
| 1619397478 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 700 Highway 29 N, Athens, GA 30601 | 2014-04-21 |
| 1972921021 | Issa Papiss Bagayogo | Psychiatry & Neurology | 297 Prince Avenue Suite 28a, Athens, GA 30601 | 2014-04-04 |
| 1447682083 | Brittany Lynn Lowery | Counselor | 250 Bray Street, Athens, GA 30601 | 2013-08-06 |
| 1417194135 | Carey Kirk | Counselor | 295 Mles St, Athens, GA 30601 | 2009-01-16 |
| Find all providers in zip 30601 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194033944 | United Rehab Inc. | Clinic/Center | 139 Alps Rd, Athens, GA 30606-4055 | 2010-09-15 |
| 1962719518 | United Rehab Inc. | Clinic/Center | 165 Winston Dr, Athens, GA 30607-1123 | 2010-09-02 |
| 1467538983 | Physiotherapy Associates Inc | Clinic/Center | 723 Baxter St, Suite B, Athens, GA 30605-1109 | 2006-10-27 |
| 1194794024 | Select Physical Therapy Holdings Inc | Clinic/Center | 1802 Us Highway 72 W, Athens, AL 35611 | 2006-03-14 |
| 1942855309 | Nhc | Clinic/Center | 1204 Frye St, Athens, TN 37303-3052 | 2019-08-02 |
| 1558858902 | Champion Physical Therapy LLC Halls | Clinic/Center | 933 Decatur Pike, Athens, TN 37303-3037 | 2018-04-20 |
| 1255648879 | United Rehab Inc. | Clinic/Center | 960 Hawthorne Ave, Athens, GA 30606-2140 | 2010-09-02 |
| 1982737821 | Christopher E. Doerr, D.o., P.C. | Clinic/Center | 195 Miles St, Athens, GA 30601-1820 | 2007-03-13 |
| 1255479275 | Nhc Healthcare Athens LLC | Clinic/Center | 1204 Frye St, Athens, TN 37303-3052 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763150 | Esop Rehabilitation, LLC | Clinic/Center | 1699 Highway 124 N Ste 100, Snellville, GA 30078-7921 | 2020-06-08 |
| 1912566811 | Tattnall Hospital Company, LLC | Clinic/Center | 10200 Ford Ave Ste 105, Richmond Hill, GA 31324-8824 | 2019-06-13 |
| 1790289544 | Effingham Rehab Services, LLC | Clinic/Center | 105 E Bacon St, Pembroke, GA 31321 | 2018-03-19 |
| 1457874976 | Effingham Rehab Services, Inc | Clinic/Center | 111 Jazie Dr Ste E, Savannah, GA 31410-1908 | 2017-07-18 |
| 1770006272 | Effingham Rehab Services, Inc | Clinic/Center | 22 W Oglethorpe Ave, Savannah, GA 31401-3702 | 2017-07-18 |
| 1588187090 | Effingham Rehab Services, Inc | Clinic/Center | 475 S Main St Ste B, Hinesville, GA 31313-1365 | 2017-07-18 |
| 1447773908 | Effingham Rehab Services, Inc | Clinic/Center | 2709 Us Highway 17 Ste 2a, Richmond Hill, GA 31324-3795 | 2017-07-17 |
| 1437689288 | Dr. Peggy Marbach Vestibular Rehab Specialist, LLC | Clinic/Center | 6849 Peachtree Dunwoody Road, Building B-4, Suite #100, Sandy Springs, GA 30328-6776 | 2017-06-14 |
| 1699207274 | Vestibular Linc LLC | Clinic/Center | 921 Harmony Rd Ste 2, Eatonton, GA 31024-9618 | 2017-04-01 |
| 1346784113 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1600 Ballewtown Rd, C/o Blue Ridge Assisted Living, Blue Ridge, GA 30513-5337 | 2016-12-13 |
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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.