THE CENTER FOR THE PHYSICALLY ACTIVE (NPI# 1922236090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922236090 |
| Entity Type | Organization |
| Organization Name | THE CENTER FOR THE PHYSICALLY ACTIVE |
| Other Organization Name | THE CENTER FOR THE PHYSICALLY ACTIVE |
| Practice Address |
5000 Snapfinger Woods Dr Suite B-13 Decatur GA 30035-4085 |
| Practice Telephone | 6784180066 |
| Practice Fax Number | 6784180122 |
| Mailing Telephone | 6784180066 |
| Mailing Fax Number | 6784180122 |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-06-29 |
| Authorized Official Name | CLAUDE MCCANTS (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6784180066 |
| Authorized Official Credential | ATC, LAT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
000392 | GA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Center for the Physically Active | Doing Business As Name - Organization |
| Street Address |
5000 SNAPFINGER WOODS DR SUITE B-13 |
| City | DECATUR |
| State | GA |
| Zip Code | 30035-4085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992977615 | Children's Dental Care Center, PC | Clinic/Center | 5000 Snapfinger Woods Dr, Suite B-210, Decatur, GA 30035-4085 | 2008-04-02 |
| 1700022571 | The Family Center of South Dekalb, LLC | Community/Behavioral Health | 5000 Snapfinger Woods Dr, Suite C-100, Decatur, GA 30035-4085 | 2008-12-29 |
| 1114057262 | Carolyn W Williams | Dentist | 5000 Snapfinger Woods Dr, Suite B-210, Decatur, GA 30035-4085 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972079978 | James L Vinson, Phd | Home Health Aide | 4050 Snapfinger Woods Drive, Suite 201, Decatur, GA 30035 | 2018-10-17 |
| 1417445206 | Kamla Gonzales | Nurse Practitioner | 5146 Miller Woods Trl, Decatur, GA 30035 | 2018-04-26 |
| 1578924924 | Alicia Marie Johnson Bryant | Social Worker | 5878 Covington Hwy, Decater, GA 30035 | 2016-03-14 |
| 1568865756 | Tracy Roberson | Counselor | 4150 Snapfinger Woods Drive, Decatur, GA 30035 | 2014-10-01 |
| 1972927861 | Tyrone D. Lane Enterprises, Incorporated | Psychologist | 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 | 2014-02-12 |
| 1013255355 | Mervin E Williams | Pharmacist | 2075 South Hairston, Decatur, GA 30035 | 2013-01-22 |
| 1205187572 | Mariana Simpson-walker | Speech-Language Pathologist | 4262 Clausell Ct Ste A, Decatur, GA 30035 | 2012-09-27 |
| 1053683854 | Jimiesh G Crane | Dentist | 5243 Snapfinger Woods Dr Ste 105, Decatur, GA 30035 | 2012-02-08 |
| 1568765824 | Salih Robinson | Health Educator | 2511 Lantrac Ct, Decatur, GA 30035 | 2010-12-08 |
| 1831428234 | Thomas Counseling | Counselor | 3781 Presidential Parkway, Suite 111c, Chamblee, GA 30035 | 2009-12-14 |
| Find all providers in zip 30035 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619456019 | Atlanta Physical Therapy | Clinic/Center | 338 Hillcrest Ave Apt E, Decatur, GA 30030-2068 | 2018-08-07 |
| 1588115984 | Encore Rehab of Priceville | Clinic/Center | 1794 S Bethel Rd, Suite C, Decatur, AL 35603-5410 | 2016-10-20 |
| 1730635087 | Elite Physical Therapy and Wellness, Inc. | Clinic/Center | 135 7th St, Decatur, MS 39327 | 2016-08-28 |
| 1427451244 | Michael Henry Jr. | Clinic/Center | 4153 Flat Shoals Pkwy Building C, Suite 300 A, Decatur, GA 30034-4106 | 2014-10-07 |
| 1962841064 | Decatur Physical Therapy & Sports Medicine | Clinic/Center | 487 Winn Way Ste 201, Decatur, GA 30030-1728 | 2013-06-21 |
| 1437492725 | Agilitas Usa Inc | Clinic/Center | 1241 Pt Mallard Pkwy Ste 201, Decatur, AL 35601-6555 | 2013-04-04 |
| 1295922193 | Stay Strong Solution, LLC | Clinic/Center | 117 Running Bear Trail, Decatur, TX 76234 | 2007-09-25 |
| 1558583708 | Active Physical Therapy, Inc. | Clinic/Center | 2424 Danville Rd. Sw, Ste M, Decatur, AL 35603 | 2007-05-03 |
| 1003819608 | Encore Rehabilitation, Inc | Clinic/Center | 251 Johnston St, Suite 300, Decatur, AL 35601-2515 | 2005-05-27 |
| 1871032243 | Peak Physical Therapy and Wellness | Clinic/Center | 216 Johnston St Se, Decatur, AL 35601-2516 | 2017-02-18 |
| Find all providers in DECATUR | ||||
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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.