PROACTIVE PHYSICAL THERAPY, INC. (NPI# 1750528303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750528303 |
| Entity Type | Organization |
| Organization Name | PROACTIVE PHYSICAL THERAPY, INC. |
| Practice Address |
4625 Alexander Dr Suite 115 Alpharetta GA 30022-3719 |
| Mailing Address |
1360 Bellsmith Dr Roswell GA 30076-0915 |
| Practice Telephone | 4042470174 |
| Mailing Telephone | 4042470174 |
| Enumeration Date | 2009-01-17 |
| Last Update Date | 2009-01-17 |
| Authorized Official Name | MRS. ANGELA NICOLE FOWLER (OWNER/PT) |
| Authorized Official Telephone | 4042470174 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT008404 | GA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780758458 | Proactive Physical Therapy, Inc. | Physical Therapist | 140 Point Judith Rd, Suite #33, Narragansett, RI 02882-3451 | 2006-11-17 |
| Street Address |
4625 ALEXANDER DR SUITE 115 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30022-3719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942787387 | Paul Taylor Trussell | Counselor | 4625 Alexander Dr, Alpharetta, GA 30022-3719 | 2018-07-27 |
| 1801244611 | Sr Seabreeze, Inc. | In Home Supportive Care | 4625 Alexander Dr, Ste 210, Alpharetta, GA 30022-3719 | 2016-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244463 | Youthful Md LLC | Family Medicine | 10595 Old Alabama Rd Con, # 9a, Alpharetta, GA 30022 | 2020-01-13 |
| 1194367185 | Maureen Onyewuenyi | Counselor | 1030 Jones Bridge Road, Suite 301, Johns Creek, GA 30022 | 2019-10-11 |
| 1427543032 | Neal Baker | Counselor | 5755 N Point Pkwy Ste 90, Alpharetta, GA 30022 | 2018-06-26 |
| 1215428685 | Advanced Cosmetic and Family Dentistry, PC | Durable Medical Equipment & Medical Supplies | 4205 North Point Parkway Bldg D, Alpharetta, GA 30022 | 2018-05-22 |
| 1114431541 | Grace Yang | Speech-Language Pathologist | 3207 Beaver Creek Road, Alpharetta, GA 30022 | 2017-11-21 |
| 1881112217 | Brittany Ketchup Hall | Counselor | 2750 Old Alabama Rd Unit 200, Alpharetta, GA 30022 | 2017-09-06 |
| 1154849867 | Fatima Wasim | Psychologist | 5755 N Point Pkwy Ste 79, Alpharetta, GA 30022 | 2017-09-01 |
| 1730602418 | Brian Keith Soles | Pharmacist | 4305 Old Milton Parkway, Alpharetta, GA 30022 | 2017-07-25 |
| 1548718976 | Serenity Life Counseling Center LLC | Community/Behavioral Health | 10068 Parc Sky Cir, Alpharetta, GA 30022 | 2016-09-14 |
| 1487016317 | National Vision, Inc. | Technician/Technologist | 7661 N Point Pwky, Ste 600, Alpharetta, GA 30022 | 2016-03-21 |
| Find all providers in zip 30022 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790325223 | 3333 Pt Practice, LLC | Clinic/Center | 3333 Old Milton Pkwy Ste 180, Alpharetta, GA 30005-0008 | 2020-01-13 |
| 1336784313 | Symptom Recovery Models LLC | Clinic/Center | 100 Prospect Pl, Alpharetta, GA 30005-5445 | 2019-11-13 |
| 1437348067 | Physical Therapy Specialties, LLC | Clinic/Center | 1071 Cambridge Sq Ste E, Alpharetta, GA 30004-1843 | 2007-10-19 |
| 1912949322 | Immanuels Word Inc | Clinic/Center | 1750 Founders Pkwy, Suite 130, Alpharetta, GA 30004-7602 | 2006-06-11 |
| 1831671403 | Agilitas Usa Inc | Clinic/Center | 12850 Highway 9 N Ste 1050, Alpharetta, GA 30004-4246 | 2018-08-30 |
| 1619281961 | Provenance Rehabilitation | Clinic/Center | 11975 Morris Rd, Suite 310, Alpharetta, GA 30005-4419 | 2010-07-28 |
| 1710122791 | Physical Therapy Forum | Clinic/Center | 5755 Northpoint Pkwy, Suite 56, Alpharetta, GA 30022-1142 | 2008-12-04 |
| 1497927925 | Sovereign Rehabilitation of Georiga, LLC | Clinic/Center | 11975 Morris Rd, Suite 300, Alpharetta, GA 30005-4419 | 2008-03-25 |
| 1811050800 | Inertia Rehabilitation Associates | Clinic/Center | 5755 N Point Pkwy, Suite 31, Alpharetta, GA 30022-1142 | 2006-12-19 |
| 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 |
| 1669090544 | Active Body Physiotherapy | Clinic/Center | 2968 Ask Kay Dr Se Ste B, Smyrna, GA 30082-2304 | 2020-07-08 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | ALPHARETTA |
| Zip Code | 30022 |
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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.