PHYSIOTHERAPY ASSSOCIATES INC (NPI# 1033295589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033295589 |
| Entity Type | Organization |
| Organization Name | PHYSIOTHERAPY ASSSOCIATES INC |
| Other Organization Name | PHYSIO-DECATUR |
| Practice Address |
495 Winn Way Suite 250 Decatur GA 30030-1736 |
| Mailing Address |
4714 Gettysburg Rd Legal Department Mechanicsburg PA 17055-4325 |
| Practice Telephone | 4042941313 |
| Practice Fax Number | 4042941318 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2018-11-09 |
| Authorized Official Name | MR. MICHAEL E TARVIN (VICE PRESIDENT AND SECRETARY) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Physio-Decatur | Doing Business As Name - Organization |
| Street Address |
495 WINN WAY SUITE 250 |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-1736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124562301 | Chryston Mays | Physical Therapist | 495 Winn Way, Suite 120, Decatur, GA 30030-1736 | 2016-12-07 |
| 1255886024 | Scott Leaderman | Physical Therapist | 495 Winn Way, Ste 120, Decatur, GA 30030-1736 | 2016-08-22 |
| 1912301003 | Usa Vein Clinics of Decatur LLC | Surgery | 495 Winn Way, Suite 220, Decatur, GA 30030-1736 | 2014-10-17 |
| 1548692254 | Emily Ann Hermes | Podiatrist | 495 Winn Way, Suite 100, Decatur, GA 30030-1736 | 2013-08-05 |
| 1811242993 | John Davis Fleck | Physical Therapist | 495 Winn Way, Suite 250, Decatur, GA 30030-1736 | 2012-07-16 |
| 1629333968 | Kevin Michael Hurley | Physical Therapist | 495 Winn Way, Suite 250, Decatur, GA 30030-1736 | 2012-07-12 |
| 1730475146 | Molly E Shapiro | Speech-Language Pathologist | 495 Winn Way, Suite 210, Decatur, GA 30030-1736 | 2011-06-23 |
| 1134459209 | Marvan Howard Porter | Physical Therapist | 495 Winn Way, Decatur, GA 30030-1736 | 2010-01-12 |
| 1265687149 | Chc Fulton Cmhc, LLC | Community/Behavioral Health | 495 Winn Way, Suite 120, Decatur, GA 30030-1736 | 2008-11-19 |
| 1730341710 | Sachin Sheth | Internal Medicine | 495 Winn Way, Decatur, GA 30030-1736 | 2008-06-30 |
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| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
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| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
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| 1114234754 | United Rehab Inc. | Clinic/Center | 3200 Panthersville Rd, Decatur, GA 30034-3831 | 2010-09-02 |
| 1972678605 | Matrix Rehabilitation-georgia Inc | Clinic/Center | 5255 Snapfinger Park Dr, Suite 5255-130, Decatur, GA 30035-4084 | 2006-11-21 |
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| 1770006272 | Effingham Rehab Services, Inc | Clinic/Center | 22 W Oglethorpe Ave, Savannah, GA 31401-3702 | 2017-07-18 |
| 1588187090 | Effingham Rehab Services, Inc | Clinic/Center | 475 S Main St Ste B, Hinesville, GA 31313-1365 | 2017-07-18 |
| 1447773908 | Effingham Rehab Services, Inc | Clinic/Center | 2709 Us Highway 17 Ste 2a, Richmond Hill, GA 31324-3795 | 2017-07-17 |
| 1437689288 | Dr. Peggy Marbach Vestibular Rehab Specialist, LLC | Clinic/Center | 6849 Peachtree Dunwoody Road, Building B-4, Suite #100, Sandy Springs, GA 30328-6776 | 2017-06-14 |
| 1699207274 | Vestibular Linc LLC | Clinic/Center | 921 Harmony Rd Ste 2, Eatonton, GA 31024-9618 | 2017-04-01 |
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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.