LAKE OCONEE REHABILITATION AND PERFORMANCE CENTER, LLC (NPI# 1649415217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649415217 |
| Entity Type | Organization |
| Organization Name | LAKE OCONEE REHABILITATION AND PERFORMANCE CENTER, LLC |
| Practice Address |
117 Harmony Crossing Suite 4 Eatonton GA 31024 |
| Practice Telephone | 7064541811 |
| Practice Fax Number | 7064541812 |
| Mailing Telephone | 7064541811 |
| Mailing Fax Number | 7064541812 |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2015-02-19 |
| Authorized Official Name | MR. BRIAN E PRELL (OWNER, PHYSICIAL THERAPIST) |
| Authorized Official Telephone | 7064541811 |
| Authorized Official Credential | P.T. |
| 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 |
| Street Address |
117 HARMONY CROSSING SUITE 4 |
| City | EATONTON |
| State | GA |
| Zip Code | 31024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164501367 | Brian E Prell | Physical Therapist | 117 Harmony Crossing, Suite 4, Eatonton, GA 31024 | 2006-11-06 |
| 1023371697 | Heather Ewing Chronos | Physician Assistant | 117 Harmony Crossing, Suite 1, Eatonton, GA 31024-9580 | 2012-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578972329 | Touch A Life Health Care (llc) | Public Health or Welfare | 105 Troy Edwards Rd., Eatonton, GA 31024 | 2014-08-06 |
| 1275714438 | O Akhras Md PC | Clinic/Center | 120 Sparta Hwy, Eatonton, GA 31024 | 2007-11-16 |
| 1679769640 | Oconee Community Service Board | Community/Behavioral Health | 101 East Sumpter, Eatonton, GA 31024 | 2007-09-24 |
| 1548475759 | Putnam General Hospital | Medicare Defined Swing Bed Unit | 101 Lake Oconee Parkway, Eatonton, GA 31024 | 2007-05-11 |
| 1548352982 | Herman V Barnes | Internal Medicine | 105 Ashland Pl, Eatonton, GA 31024 | 2006-09-29 |
| 1801180591 | Hannah Meigan Johnson Miller | Dentist | 104 N Lafayette St, Eatonton, GA 31024 | 2011-05-31 |
| 1427139310 | Thomas L Brown | Dentist | 104 N Lafayette St, Eatonton, GA 31024 | 2006-10-18 |
| 1306857032 | Putnam County Board of Health | Public Health or Welfare | 103 N Washington St, Eatonton, GA 31024 | 2006-08-10 |
| 1104003151 | Jennifer Maureen Carawan | Physical Therapy Assistant | 115 N Jefferson Ave, Eatonton, GA 31024-1019 | 2008-01-22 |
| 1710997028 | Rita Daniel | Chiropractor | 119 N Jefferson Ave, Eatonton, GA 31024-1019 | 2006-08-09 |
| Find all providers in zip 31024 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| 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.