WESTSIDE PHYSICAL THERAPY, LLC (NPI# 1669862769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669862769 |
| Entity Type | Organization |
| Organization Name | WESTSIDE PHYSICAL THERAPY, LLC |
| Other Organization Name | MOVEMENT SPORTS PHYSICAL THERAPY, LLC |
| Practice Address |
1695 Marietta Blvd Nw At Atlanta Ballet Atlanta GA 30318-3644 |
| Mailing Address |
2444 Clairmont Rd Ne Atlanta GA 30329-3330 |
| Practice Telephone | 4043828702 |
| Practice Fax Number | 4044927034 |
| Mailing Telephone | 4043828702 |
| Mailing Fax Number | 4044927034 |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |
| Authorized Official Name | BRIAN ARTHUR YEE (OWNER) |
| Authorized Official Telephone | 4044410206 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT008407 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Movement Sports Physical Therapy, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922666551 | Westside Physical Therapy, LLC | Physical Therapist | 4171 Hwy 1 S Ste #10, 4173 Hwy 1 S. Ste #11, Port Allen, LA 70767-5822 | 2019-05-29 |
| Street Address |
1695 MARIETTA BLVD NW AT ATLANTA BALLET |
| City | ATLANTA |
| State | GA |
| Zip Code | 30318-3644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205380342 | Jacob Reynolds | Physical Therapist | 1695 Marietta Blvd Nw, Atlanta, GA 30318-3644 | 2016-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970408 | Laura N Gillespie | Physician Assistant | 1800 Howell Mill Rd., Suite 450, Atlanta, GA 30318 | 2020-10-22 |
| 1639793664 | 100 Percent Chiropractic Sberger LLC | Chiropractor | 2250 Marietta Blvd, Suite 303, Atlanta, GA 30318 | 2020-06-05 |
| 1326518945 | Sharon Emancia Joseph | Nurse Practitioner | 1517 Whitehead Bluff Nw, Atlanta, GA 30318 | 2018-11-27 |
| 1124597646 | Cindy Denise Oden | Registered Nurse | 1903 Drew Dr Nw, Apt 2200, Atlanta, GA 30318 | 2018-11-14 |
| 1558838052 | Amanda Renee Wilson | Social Worker | 2118 Adams Overlook Nw, Atlanta, GA 30318 | 2018-11-01 |
| 1386135010 | Missions Possible of Atlanta Day Program LLC. | Counselor | 805 Ayrshire Cir Nw, Atlanta, GA 30318 | 2018-05-29 |
| 1295254639 | Danielle Olivia Jones | Counselor | 1391 Collier Road Nw, Apt 1304, Atlanta, GA 30318 | 2017-09-18 |
| 1104372317 | Kera Baker | Massage Therapist | 1397 B Carroll Drive Nw, Atlanta, GA 30318 | 2016-08-28 |
| 1588015648 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 1000 Techwood Dr Nw, Atlanta, GA 30318 | 2016-06-29 |
| 1104286707 | B Webb, Inc | Specialist | 1675 Lower Roswell Rd, Marietta, GA 30318 | 2016-02-25 |
| Find all providers in zip 30318 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649791005 | Caitlin Moriah Clark | Physical Therapist | 1995 N Park Pl Se Ste 410, Atlanta, GA 30339-2072 | 2017-07-06 |
| 1689073553 | Ilana Danneman | Physical Therapist | 2016 Lakesprings Way, Atlanta, GA 30338-4414 | 2014-08-17 |
| 1366851107 | Mackenzie Olson | Physical Therapist | 1365 Clifton Rd Ne Ste 2218, Atlanta, GA 30322-1013 | 2014-08-06 |
| 1992066013 | Nia I Seidu-clark | Physical Therapist | 688 Spring St, Atlanta, GA 30354-1414 | 2012-06-05 |
| 1750601464 | Audrey K Jones | Physical Therapist | 195 Arizona Ave., L/w-2, Suite 400, Atlanta, GA 30307 | 2010-06-03 |
| 1588995054 | Stacy Hosp | Physical Therapist | 3280 Peachtree Rd Ne, 225, Atlanta, GA 30305-2430 | 2010-01-24 |
| 1326372293 | Leslie K Wolfe | Physical Therapist | 1144 Zimmer Dr Ne, Atlanta, GA 30306-3321 | 2009-09-25 |
| 1912988098 | Injury Prevention & Management Consulting LLC | Physical Therapist | 1 Dunwoody Park, Suite 121, Atlanta, GA 30338-6202 | 2005-11-07 |
| 1982266284 | Sabrina Michelle Viola | Physical Therapist | 3200 Downwood Cir Nw Ste 700, Atlanta, GA 30327-5308 | 2019-07-08 |
| 1396259701 | Catalyst Physical Therapy | Physical Therapist | 800 Mount Vernon Hwy Ne Ste 325, Atlanta, GA 30328-4296 | 2017-11-21 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on WESTSIDE PHYSICAL THERAPY, 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.