SUNDANCE REHABILITATION AGENCY, LLC (NPI# 1235556945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235556945 |
| Entity Type | Organization |
| Organization Name | SUNDANCE REHABILITATION AGENCY, LLC |
| Practice Address |
2280 Highway 29 N Newnan GA 30265-1031 |
| Mailing Address |
101 E State St Kennett Square PA 19348-3109 |
| Practice Telephone | 7706836833 |
| Mailing Telephone | 7248315044 |
| Mailing Fax Number | 6106125459 |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2018-02-23 |
| Authorized Official Name | LOUISE ANN SOIKA (SVP) |
| Authorized Official Telephone | 6109254088 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760437743 | Sundance Rehabilitation Agency, LLC | Clinic/Center | 11405 Medlock Bridge Rd, Johns Creek, GA 30097-1688 | 2006-05-24 |
| 1508281411 | Sundance Rehabilitation Agency, LLC | Clinic/Center | 135 Hoyt St, Athens, GA 30601-2646 | 2014-02-28 |
| 1740341395 | Sundance Rehabilitation Agency, LLC | Physical Therapist | 50 W Main St, Hopkinton, MA 01748-1672 | 2006-12-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SUNDANCE REHABILITATION AGENCY, LLC | 300 Deschutes Way Sw #304, Olympia, WA 98501 |
| Street Address |
2280 HIGHWAY 29 N |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376653899 | Thad Poitevint | Physical Therapist | 2280 Highway 29 N, Newnan, GA 30265-1031 | 2006-08-30 |
| 1053932186 | Hannah Katherine Chapman | Speech-Language Pathologist | 2280 Highway 29 N, Newnan, GA 30265-1031 | 2020-04-29 |
| 1548891260 | Nalungo Evans | Occupational Therapy Assistant | 2280 Highway 29 N, Newnan, GA 30265-1031 | 2020-01-31 |
| 1861030447 | Connie Perkins | Occupational Therapist | 2280 Highway 29 N, Newnan, GA 30265-1031 | 2019-12-14 |
| 1013568757 | Brier Rose Familleza | Physical Therapist | 2280 Highway 29 N, Newnan, GA 30265-1031 | 2019-09-24 |
| 1174003461 | Lacey Daush | Speech-Language Pathologist | 2280 Highway 29 N, Newnan, GA 30265 | 2018-08-16 |
| 1588033443 | Nancy Beavers | Physical Therapy Assistant | 2280 Highway 29 N, Newnan, GA 30265-1031 | 2015-09-22 |
| 1295121309 | Sara Shackleford | Occupational Therapy Assistant | 2280 Highway 29 N, Newnan, GA 30265-1031 | 2015-04-15 |
| 1366840233 | Jennifer Boggus Baker | Speech-Language Pathologist | 2280 Highway 29 N, Newnan, GA 30265-1031 | 2014-12-09 |
| 1194134262 | Corrie Kief | Occupational Therapy Assistant | 2280 Highway 29 N, Newnan, GA 30265-1031 | 2014-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710062633 | Physiotherapy Associates Inc | Clinic/Center | 40 Greenway Ct, Suite B&c, Newnan, GA 30265-2326 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763150 | Esop Rehabilitation, LLC | Clinic/Center | 1699 Highway 124 N Ste 100, Snellville, GA 30078-7921 | 2020-06-08 |
| 1912566811 | Tattnall Hospital Company, LLC | Clinic/Center | 10200 Ford Ave Ste 105, Richmond Hill, GA 31324-8824 | 2019-06-13 |
| 1790289544 | Effingham Rehab Services, LLC | Clinic/Center | 105 E Bacon St, Pembroke, GA 31321 | 2018-03-19 |
| 1457874976 | Effingham Rehab Services, Inc | Clinic/Center | 111 Jazie Dr Ste E, Savannah, GA 31410-1908 | 2017-07-18 |
| 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 |
| 1346784113 | Genesis Eldercare Rehabilitation Services LLC | Clinic/Center | 1600 Ballewtown Rd, C/o Blue Ridge Assisted Living, Blue Ridge, GA 30513-5337 | 2016-12-13 |
| Find all providers with the same taxonomy | ||||
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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.