EMORY PHYSICAL THERAPY, LLC (NPI# 1619466513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619466513 |
| Entity Type | Organization |
| Organization Name | EMORY PHYSICAL THERAPY, LLC |
| Practice Address |
7813 Spivey Station Blvd Ste 230 Jonesboro GA 30236-2900 |
| Mailing Address |
8259 Wicker Ave Saint John IN 46373-8878 |
| Practice Telephone | 4042512458 |
| Practice Fax Number | 4042512460 |
| Mailing Telephone | 2193656560 |
| Mailing Fax Number | 2193656561 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-08 |
| Authorized Official Name | GREGORY L COOPER (MANAGING PARTNER) |
| Authorized Official Telephone | 2193656560 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750880803 | Emory Physical Therapy, LLC | Clinic/Center | 1968 Hawks Lane, Brookhaven, GA 30329-2283 | 2018-02-05 |
| 1528582145 | Emory Physical Therapy, LLC | Clinic/Center | 3903 S Cobb Dr Se Ste 275, Smyrna, GA 30080-8504 | 2017-07-26 |
| 1962795641 | Emory Physical Therapy, LLC | Physical Therapist | 1459 Montreal Rd Ste 304, Tucker, GA 30084-6920 | 2011-05-27 |
| 1922018423 | Emory Physical Therapy, LLC | Clinic/Center | 57 Executive Park South Ne Ste 190, Atlanta, GA 30329-2248 | 2006-08-08 |
| 1720097561 | Emory Physical Therapy, LLC | Clinic/Center | 59 Executive Drive South, Suite 1100, Atlanta, GA 30329-2208 | 2006-08-07 |
| 1831108695 | Emory Physical Therapy, LLC | Clinic/Center | 1845 Satellite Blvd Ste 500, Duluth, GA 30097-4005 | 2006-08-07 |
| 1245863174 | Emory Physical Therapy, LLC | Physical Therapist | 1014 Sycamore Dr, Decatur, GA 30030-1644 | 2020-02-19 |
| 1275931768 | Emory Physical Therapy, LLC | Clinic/Center | 6335 Hospital Pkwy Ste 302, Johns Creek, GA 30097-5712 | 2014-12-15 |
| 1942499652 | Emory Physical Therapy, LLC | Physical Therapist | 4555 N Shallowford Rd Ste 112, Dunwoody, GA 30338-6403 | 2007-10-18 |
| 1790801520 | Emory Physical Therapy, LLC | Clinic/Center | 26 Eagle Row Ne, Atlanta, GA 30322-0001 | 2007-03-22 |
| Street Address |
7813 SPIVEY STATION BLVD STE 230 |
| City | JONESBORO |
| State | GA |
| Zip Code | 30236-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063592343 | Venneisa Smith Williams | Physical Therapist | 7813 Spivey Station Blvd Ste 230, Jonesboro, GA 30236-2900 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123362 | Life Source Counseling & Consulting, LLC | Clinic/Center | 118 North Avenue, Suite A, Jonesboro, GA 30236 | 2020-04-25 |
| 1639609555 | New Beginnings Behavioral Counseling,llc | Social Worker | 9456 S Main St Ste E2, Jonesboro, GA 30236 | 2017-06-13 |
| 1437696762 | Clarissa Alexandra Poole | Counselor | 2106 Fair Ridge Ct, Jonesboro, GA 30236 | 2017-01-25 |
| 1588012892 | Sundance Healthcare Service Inc | In Home Supportive Care | 7861 Collinswood Court, Jonesboro, GA 30236 | 2016-05-26 |
| 1942669205 | Adrianne Smiley Gurley | Occupational Therapist | 1299 Battlecreek Rd Ste 210, Jonesboro, GA 30236 | 2016-02-15 |
| 1336505809 | Integrated Health Center | Dentist | 8600 Tara Blvd, Suite D, Jonesboro, GA 30236 | 2016-01-13 |
| 1467827402 | Surrell Porter | Nurse Practitioner | 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | 2015-12-02 |
| 1740688910 | Jacqueline Carolyn Edwards | Registered Nurse | 8081 Tara Blvd, 265, Jonesboro, GA 30236 | 2014-12-19 |
| 1770991861 | Lower Extremity Diagnostics, LLC | Podiatrist | 6911 Tara Boulevard, Jonesboro, GA 30236 | 2014-08-01 |
| 1760899710 | Fresenius Medical Care Jonesboro, LLC | Clinic/Center | 8060 Summitt Business Parkway, Jonesboro, GA 30236 | 2014-07-22 |
| Find all providers in zip 30236 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417428152 | Exodus Physical Therapy | Clinic/Center | 1728 Westwood Cv, Jonesboro, AR 72401-4793 | 2018-12-06 |
| 1780920298 | Therapy Links | Clinic/Center | 4504 Kalli Dr, Jonesboro, AR 72404-8091 | 2013-01-02 |
| 1740550847 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 8080 Summit Business Pkwy, Jonesboro, GA 30236-4199 | 2012-01-05 |
| 1346473139 | Tracy Jones Physical Therapy Services, P.a. | Clinic/Center | 1107 E Matthews Ave, Suite 100, Jonesboro, AR 72401-4315 | 2009-08-27 |
| 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 | ||||
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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.