BODY PROS PHYSICAL THERAPY (NPI# 1578610606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578610606 |
| Entity Type | Organization |
| Organization Name | BODY PROS PHYSICAL THERAPY |
| Other Organization Name | AXIOM PHYSICAL THERAPY |
| Practice Address |
1809 Canton Rd Suite 600 Marietta GA 30066-6343 |
| Practice Telephone | 6782131560 |
| Practice Fax Number | 6782131705 |
| Mailing Telephone | 6782131560 |
| Mailing Fax Number | 6782131705 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2008-01-20 |
| Authorized Official Name | MR. JOHN A. RESNICK (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 7703214720 |
| Authorized Official Credential | J.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
108515 | GA | Ambulatory Health Care Facilities |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
108515 | GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Axiom Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679588321 | Body Pros Physical Therapy | Physical Therapist | 736 Johnson Ferry Rd, Suite A-12, Marietta, GA 30068 | 2006-07-30 |
| Street Address |
1809 CANTON RD SUITE 600 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30066-6343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699825422 | Paul A. Marino | Physical Therapist | 1809 Canton Rd, Suite 600, Marietta, GA 30066-6343 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1538681994 | Passionate Care | In Home Supportive Care | 1110 Renfro Ln., Marietta, GA 30066 | 2017-07-07 |
| 1437510443 | Steven Caras | Internal Medicine | 2682 Bonaire Terrace, Marietta, GA 30066 | 2016-03-18 |
| 1275918781 | Latifat Bolajoko Asemota | Nurse Practitioner | 410 Nottingham Dr, Marietta, GA 30066 | 2015-07-26 |
| 1497094205 | Changing Phases Behavioral Support, Inc | Internal Medicine | 3655 Canton Rd Ste 201, Marietta, GA 30066 | 2013-02-14 |
| 1659618916 | Alison Nicole Sims | Occupational Therapist | 2465 Canopy Drive, Marietta, GA 30066 | 2013-01-07 |
| 1790044907 | Antoine Jose Davenport | Massage Therapist | 4686 Jamerson Creek Dr, Marietta, GA 30066 | 2012-05-08 |
| 1174898548 | Angel Elizabeth Nofziger | Nurse Practitioner | 3750 Palladian Village Dr Ste 300, Marietta, GA 30066 | 2012-03-18 |
| 1912298019 | Nancy Jean Slack | Pharmacist | 2833 Canton Road, Marietta, GA 30066 | 2011-04-22 |
| 1336456078 | Mario B Miller Sr. | Chiropractor | 50 Barrett Parkway, Suite 3005#126, Marietta, GA 30066 | 2010-09-01 |
| Find all providers in zip 30066 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253658 | Intelli-therapists LLC | Clinic/Center | 3486 Sheridan Chase Se, Marietta, GA 30067-4336 | 2020-04-15 |
| 1437545324 | Neurosport Physical Therapy | Clinic/Center | 1163 Johnson Ferry Rd Ste 100, Marietta, GA 30068-2764 | 2015-04-08 |
| 1548699127 | Esop Rehabilitation LLC | Clinic/Center | 1100 Johnson Ferry Road, Suite 425, Marietta, GA 30068-2794 | 2013-11-05 |
| 1235406026 | East Cobb Therapy Solutions, LLC | Clinic/Center | 2826 Baccurate Dr, Marietta, GA 30062-8711 | 2011-11-21 |
| 1528223336 | Concentra Health Services, Inc. | Clinic/Center | 220 N Cobb Pkwy, Suite 400, Marietta, GA 30062-3579 | 2008-07-21 |
| 1265539381 | Perimeter Rehabilitation Center, Inc. | Clinic/Center | 310 Kings Ct Ne, Marietta, GA 30067-3622 | 2006-09-20 |
| 1306855838 | Occupational Health Centers of Georgia PC | Clinic/Center | 220 N. Cobb Parkway, Ste. 400, Marietta, GA 30062 | 2006-08-05 |
| 1538164553 | Gp Therapy LLC | Clinic/Center | 1100 Johnson Ferry Rd, Suite 425, Marietta, GA 30068-2794 | 2005-06-16 |
| 1376159020 | Pep Physical Therapy, LLC | Clinic/Center | 401 Hickory Walk Sw, Marietta, GA 30064-3040 | 2020-09-18 |
| 1720600802 | Integral Physical Therapy LLC | Clinic/Center | 1515 Johnson Ferry Rd, Marietta, GA 30062-6492 | 2020-05-12 |
| Find all providers in MARIETTA | ||||
Please comment or provide details below to improve the information on BODY PROS PHYSICAL THERAPY.
| 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.