EMORY PHYSICAL THERAPY, LLC (NPI# 1528582145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528582145 |
| Entity Type | Organization |
| Organization Name | EMORY PHYSICAL THERAPY, LLC |
| Practice Address |
3903 S Cobb Dr Se Ste 275 Smyrna GA 30080-8504 |
| Mailing Address |
8259 Wicker Ave Saint John IN 46373-8878 |
| Practice Telephone | 4042512121 |
| Mailing Telephone | 2193656560 |
| Mailing Fax Number | 2193656561 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |
| Authorized Official Name | GREGORY COOPER (MANAGING PARTNER) |
| Authorized Official Telephone | 2193656560 |
| 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 |
|---|---|---|---|
| GA | MEDICARE PIN | DD0145 | 01 |
| GA | NSC | 5419170001 | 01 |
| GA | MEDICARE PIN | GRP6756 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750880803 | Emory Physical Therapy, LLC | Clinic/Center | 1968 Hawks Lane, Brookhaven, GA 30329-2283 | 2018-02-05 |
| 1962795641 | Emory Physical Therapy, LLC | Physical Therapist | 1459 Montreal Rd Ste 304, Tucker, GA 30084-6920 | 2011-05-27 |
| 1922018423 | Emory Physical Therapy, LLC | Clinic/Center | 57 Executive Park South Ne Ste 190, Atlanta, GA 30329-2248 | 2006-08-08 |
| 1720097561 | Emory Physical Therapy, LLC | Clinic/Center | 59 Executive Drive South, Suite 1100, Atlanta, GA 30329-2208 | 2006-08-07 |
| 1831108695 | Emory Physical Therapy, LLC | Clinic/Center | 1845 Satellite Blvd Ste 500, Duluth, GA 30097-4005 | 2006-08-07 |
| 1245863174 | Emory Physical Therapy, LLC | Physical Therapist | 1014 Sycamore Dr, Decatur, GA 30030-1644 | 2020-02-19 |
| 1619466513 | Emory Physical Therapy, LLC | Clinic/Center | 7813 Spivey Station Blvd Ste 230, Jonesboro, GA 30236-2900 | 2018-05-07 |
| 1275931768 | Emory Physical Therapy, LLC | Clinic/Center | 6335 Hospital Pkwy Ste 302, Johns Creek, GA 30097-5712 | 2014-12-15 |
| 1942499652 | Emory Physical Therapy, LLC | Physical Therapist | 4555 N Shallowford Rd Ste 112, Dunwoody, GA 30338-6403 | 2007-10-18 |
| 1790801520 | Emory Physical Therapy, LLC | Clinic/Center | 26 Eagle Row Ne, Atlanta, GA 30322-0001 | 2007-03-22 |
| Street Address |
3903 S COBB DR SE STE 275 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-8504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508384074 | Jeanne Graf | Physical Therapist | 3903 S Cobb Dr Se Ste 275, Smyrna, GA 30080-8504 | 2017-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669090544 | Active Body Physiotherapy | Clinic/Center | 2968 Ask Kay Dr Se Ste B, Smyrna, GA 30082-2304 | 2020-07-08 |
| 1609272327 | Hold Fast | Clinic/Center | 3600 Highlands Pkwy Se, Building 4 Lower Floor, Smyrna, GA 30082-5184 | 2014-11-06 |
| 1568495646 | Physiotherapy Associates Inc | Clinic/Center | 739 President Pl, Suite 200, Smyrna, TN 37167-6844 | 2006-07-09 |
| 1841815354 | Smyrna Hand Therapy, LLC | Clinic/Center | 1290 W Spring St Se Ste 130, Smyrna, GA 30080-3689 | 2020-06-10 |
| 1942853379 | Agilitas Usa, Inc | Clinic/Center | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080-4234 | 2019-07-24 |
| 1720458557 | Full Circle Therapy, Pllc | Clinic/Center | 215 Wellington Way, Smyrna, TN 37167-5739 | 2015-10-06 |
| 1518364231 | Hold Fast Motion | Clinic/Center | 3600 Highlands Pkwy Se, Building 4 Lower Floor, Smyrna, GA 30082-5184 | 2014-11-24 |
| 1538494828 | Set Sports Physical Therapy | Clinic/Center | 1800 Lake Park Dr Se Ste 101, Smyrna, GA 30080-7639 | 2009-10-05 |
| 1386798031 | Agilitas Usa Inc. | Clinic/Center | 741 President Pl Ste 130, Smyrna, TN 37167-6808 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205159 | Thrive Therapy and Wellness Services LLC | Clinic/Center | 106 Mims Rd, Sylvania, GA 30467-1995 | 2020-11-04 |
| 1851990063 | On The Move Massage & Physical Therapy | Clinic/Center | 7454 Silver Arrow Trl, Austell, GA 30168-2401 | 2020-10-19 |
| 1659979086 | Mvp Physio Dr. | Clinic/Center | 123 Umiya Nagar Cir, Macon, GA 31206-5401 | 2020-10-16 |
| 1972100865 | Resilient Physio, LLC | Clinic/Center | 790 West Ave, Cartersville, GA 30120-3402 | 2020-10-05 |
| 1205441987 | Fortitude Movement & Strength Inc. | Clinic/Center | 5300 Peachtree Rd Unit 2508, Atlanta, GA 30341-2457 | 2020-09-10 |
| 1376151001 | Mother and Baby Wellness Collective, LLC | Clinic/Center | 136 Millstone Way, Canton, GA 30115-7270 | 2020-07-20 |
| 1225646821 | Innovative Therapeutic Solutions, LLC | Clinic/Center | 360 Pharr Rd Ne Apt 404, Atlanta, GA 30305-2391 | 2020-07-20 |
| 1487270914 | Docjay Physical Therapy | Clinic/Center | 6740 Shannon Pkwy Ste 14, Union City, GA 30291-2061 | 2020-06-20 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
| 1285253658 | Intelli-therapists LLC | Clinic/Center | 3486 Sheridan Chase Se, Marietta, GA 30067-4336 | 2020-04-15 |
| Find all providers with the same taxonomy | ||||
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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.