SOVEREIGN REHABILITATION OF GEORGIA, LLC (NPI# 1376756197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376756197 |
| Entity Type | Organization |
| Organization Name | SOVEREIGN REHABILITATION OF GEORGIA, LLC |
| Other Organization Name | CENTERS FOR ORTHOPEDIC REHABILITATION |
| Practice Address |
5555 Peachtree Dunwoody Rd Ne Suite 201 Atlanta GA 30342-1703 |
| Practice Telephone | 4048353340 |
| Practice Fax Number | 4042071391 |
| Mailing Telephone | 4048353340 |
| Mailing Fax Number | 4042071391 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-07-19 |
| Authorized Official Name | ALAN J GRODIN (PRESIDENT) |
| Authorized Official Telephone | 4048353340 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
OT004558 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225100000X | Physical Therapist | PT001153 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Centers for Orthopedic Rehabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215109749 | Sovereign Rehabilitation of Georgia, LLC | Clinic/Center | 3541 Highway 81, Loganville, GA 30052-4336 | 2008-03-25 |
| 1588836019 | Sovereign Rehabilitation of Georgia, LLC | Clinic/Center | 439 Sigman Rd Nw, Suite D, Conyers, GA 30012-3653 | 2008-03-25 |
| 1194267260 | Sovereign Rehabilitation of Georgia, LLC | Physical Therapist | 1301 Sigman Rd Ne, Suite 220, Conyers, GA 30012-3812 | 2016-11-07 |
| 1326210840 | Sovereign Rehabilitation of Georgia, LLC | Clinic/Center | 495 Winn Way, Suite 120, Decatur, GA 30030-1736 | 2008-03-25 |
| 1407028921 | Sovereign Rehabilitation of Georgia, LLC | Occupational Therapist | 3280 Howell Mill Rd Nw, Suite 345, Atlanta, GA 30327-4111 | 2008-03-25 |
| 1144492661 | Sovereign Rehabilitation of Georgia, LLC | Clinic/Center | 595 Hurricane Shoals Rd Nw, Suite 100, Lawrenceville, GA 30045-4426 | 2008-03-25 |
| Street Address |
5555 PEACHTREE DUNWOODY RD NE SUITE 201 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942205455 | William S. Smith | Otolaryngology | 5555 Peachtree Dunwoody Rd Ne, Ste 125, Atlanta, GA 30342-1711 | 2005-06-21 |
| 1619215514 | Family Allergy & Asthma Center | Specialist | 5555 Peachtree Dunwoody Rd Ne, Suite 340, Atlanta, GA 30342-1703 | 2013-01-28 |
| 1922369339 | Anesheia Ceasar Prince | Audiologist | 5555 Peachtree Dunwoody Rd Ne, Ste 125, Atlanta, GA 30342-1710 | 2012-06-01 |
| 1730461492 | Charles Edward Gregory | Dentist | 5555 Peachtree Dunwoody Rd Ne, Suite 275, Atlanta, GA 30342-1703 | 2011-09-19 |
| 1710269303 | Richard Stephen Shapiro | Dentist | 5555 Peachtree Dunwoody Rd Ne, Suite 275, Atlanta, GA 30342-1703 | 2011-09-09 |
| 1023302668 | Natalie Fink Carrithers | Nurse Practitioner | 5555 Peachtree Dunwoody Rd Ne, Suite 201, Atlanta, GA 30342-1703 | 2011-05-31 |
| 1265735187 | Robert M. Fryer, Dds, PC | Oral & Maxillofacial Surgery | 5555 Peachtree Dunwoody Rd Ne, Suite G56, Atlanta, GA 30342-1703 | 2010-12-15 |
| 1669709564 | David B. Adams, Ph.d., P.C. | Clinic/Center | 5555 Peachtree Dunwoody Rd Ne, Suite 251, Atlanta, GA 30342-1703 | 2009-11-13 |
| 1386977833 | Dominion Orthopaedic Clinic, LLC | Durable Medical Equipment & Medical Supplies | 5555 Peachtree Dunwoody Rd Ne, Suite 215, Atlanta, GA 30342-1703 | 2009-09-16 |
| 1992959118 | Capital City Orthopaedics & Sports Medicine, P.C. | Clinic/Center | 5555 Peachtree Dunwoody Rd Ne, Suite 101, Atlanta, GA 30342-1703 | 2008-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558969204 | Caitlin P Knowles | Physical Therapist | 349 Delmont Dr Ne, Atlanta, GA 30305-3220 | 2020-10-14 |
| 1659981322 | Gerald E Roettger | Physical Therapist | 2955 Peachtree Road Nw, Suite A1, Atlanta, GA 30305 | 2020-08-06 |
| 1063021251 | Zachary Vinsant | Physical Therapist | 4620 Wieuca Rd Ne Apt 26, Atlanta, GA 30342-3335 | 2020-07-23 |
| 1538777198 | Megan Mclees Washburn | Physical Therapist | 2448 Chestnut Lndg, Atlanta, GA 30360-2198 | 2020-07-20 |
| 1710521471 | Alexandra Marie Evancho | Physical Therapist | 141 Lindbergh Dr Ne Unit A, Atlanta, GA 30305-3765 | 2019-11-05 |
| 1386292217 | Andrew Michael Benton | Physical Therapist | 550 Peachtree St Ne Ste 1760, Atlanta, GA 30308-2262 | 2019-09-04 |
| 1093369548 | Gordon Peace | Physical Therapist | 705 Town Blvd Ne S 550, Atlanta, GA 30319 | 2019-08-01 |
| 1366094443 | Kelly Elizabeth Mckinnon | Physical Therapist | 2001 Peachtree Rd Ne Ste 200, Atlanta, GA 30309-1476 | 2019-07-10 |
| 1295292555 | Christina Diggs | Physical Therapist | 550 Peachtree St Ne # L231, Atlanta, GA 30308-2247 | 2019-02-22 |
| 1265998066 | Megan Elizabeth Ruger | Physical Therapist | 636 Cresthill Ave Ne, Atlanta, GA 30306-3640 | 2019-02-17 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on SOVEREIGN REHABILITATION OF GEORGIA, 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.