INTEGRAL PHYSICAL THERAPY LLC (NPI# 1720600802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720600802 |
| Entity Type | Organization |
| Organization Name | INTEGRAL PHYSICAL THERAPY LLC |
| Practice Address |
1515 Johnson Ferry Rd Marietta GA 30062-6492 |
| Mailing Address |
3302 Lantern Coach Ln Ne Roswell GA 30075-3195 |
| Practice Telephone | 4702107222 |
| Mailing Telephone | 4042102093 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Authorized Official Name | DR. LISA SHAW (OWNER, PHYSICAL THERAPIST) |
| Authorized Official Telephone | 4042102093 |
| Authorized Official Credential | PT, DPT |
| 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 |
| Street Address |
1515 JOHNSON FERRY RD |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-6492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376968693 | Emma Katherine Klein | Speech-Language Pathologist | 1515 Johnson Ferry Rd, Suite 100, Marietta, GA 30062-6492 | 2014-02-24 |
| 1033649777 | Jennifer Goble | Speech-Language Pathologist | 1515 Johnson Ferry Rd, Marietta, GA 30062-6492 | 2017-06-15 |
| 1831624204 | Briana Houlihan | Occupational Therapist | 1515 Johnson Ferry Rd, Suite 100, Marietta, GA 30062-6492 | 2017-04-24 |
| 1437694619 | Mary Kennedy Albritton | Speech-Language Pathologist | 1515 Johnson Ferry Rd, Suite 100, Marietta, GA 30062-6492 | 2016-12-27 |
| 1477922870 | Amanda Granberg | Occupational Therapist | 1515 Johnson Ferry Rd, Marietta, GA 30062-6492 | 2015-09-16 |
| 1124495908 | Erin Rogers | Speech-Language Pathologist | 1515 Johnson Ferry Rd, Suite 100, Marietta, GA 30062-6492 | 2015-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| 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 |
| 1255971057 | Agilitas Usa, Inc | Clinic/Center | 3460 Sandy Plains Rd, Ste 610, Marietta, GA 30066-4766 | 2020-01-09 |
| Find all providers in MARIETTA | ||||
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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.