PHYSICAL MEDICINE CENTER (NPI# 1588767750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588767750 |
| Entity Type | Organization |
| Organization Name | PHYSICAL MEDICINE CENTER |
| Practice Address |
1642 Roswell Rd Marietta GA 30062-3621 |
| Practice Telephone | 7709738800 |
| Practice Fax Number | 7709716962 |
| Mailing Telephone | 7709738800 |
| Mailing Fax Number | 7709716962 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KENNETH S WEINER (PRESIDENT) |
| Authorized Official Telephone | 7709738800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 174400000X | Specialist | Other Service Providers | ||
| X | 208100000X | Physical Medicine & Rehabilitation | G00161 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902810963 | Physical Medicine Center | Clinic/Center | 14522 University Point Pl, Tampa, FL 33613-5425 | 2006-07-27 |
| 1396742953 | Physical Medicine Center | Clinic/Center | 401 N College Rd, Ste 3&4, Lafayette, LA 70506-4263 | 2005-06-28 |
| Street Address |
1642 ROSWELL RD |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-3621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295251957 | David Bell | Chiropractor | 1642 Roswell Rd, Marietta, GA 30062-3621 | 2017-08-15 |
| 1467978122 | Vanessa Gale | Chiropractor | 1642 Roswell Rd, Marietta, GA 30062-3621 | 2017-08-15 |
| 1780045021 | Robert Love | Chiropractor | 1642 Roswell Rd, Marietta, GA 30062-3621 | 2016-03-15 |
| 1861853103 | Amanda Love | Chiropractor | 1642 Roswell Rd, Marietta, GA 30062-3621 | 2016-03-15 |
| 1215398557 | Shilo Enterprises PC | Chiropractor | 1642 Roswell Rd, Marietta, GA 30062-3621 | 2016-03-15 |
| 1790991149 | Larry Roy Zezula | Chiropractor | 1642 Roswell Rd, Marietta, GA 30062 | 2007-05-15 |
| 1093834616 | Kenneth Stephen Weiner | Chiropractor | 1642 Roswell Rd, Marietta, GA 30062-3621 | 2007-03-28 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104286707 | B Webb, Inc | Specialist | 1675 Lower Roswell Rd, Marietta, GA 30318 | 2016-02-25 |
| 1982077889 | Jane A Cases Md Comprehensive Lifestyle Center LLC | Specialist | 242 Pike St, Marietta, OH 45750-3322 | 2015-11-02 |
| 1578971180 | April Harris | Specialist | 3015 Canton Rd Ste 11, Marietta, GA 30066-3878 | 2014-07-27 |
| 1306259031 | Gary Studenic | Specialist | 1395 S Marietta Pkwy Se Ste 102, Marietta, GA 30067-7852 | 2014-06-10 |
| 1992115448 | Strategic Billing Solutions, LLC | Specialist | 1205 Wynnes Ridge Cir Se, Marietta, GA 30067-8452 | 2014-05-06 |
| 1912326349 | Kayla Kendall | Specialist | 219 2nd St, Suite 206, Marietta, OH 45750-8062 | 2014-04-14 |
| 1235569401 | Mitchell Jablow | Specialist | 3641 Clubland Dr, Marietta, GA 30068-4003 | 2013-11-25 |
| 1336579101 | Christine Thomas | Specialist | 406 Scammel St, Marietta, OH 45750-2009 | 2013-11-15 |
| 1922379304 | The Injury Wellness Surgical and Procedure Institute LLC | Specialist | 2483 Powder Springs Rd Sw, Ste C, Marietta, GA 30064-4573 | 2012-01-18 |
| 1235440264 | Silasmasih In-home Therapy Services,llc | Specialist | 184 Parkstone Way, Marietta, GA 30066-4977 | 2010-06-24 |
| 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.