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GEORGIA STATE UNIVERSITY PHYSICAL NPI 1477990695


NPI Information

NPI: 1477990695
Provider Name: GEORGIA STATE UNIVERSITY PHYSICAL
Classification: Clinic/Center - 261QP2000X
Entity Type: Organization

Specialization: Physical Therapy

CLIA Number: 11D0687187

Address:
66 COURTLAND ST SE STE 108
ATLANTA, GA
ZIP 30303
Phone: (404) 413-1415
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GEORGIA STATE UNIVERSITY PHYSICAL is a physical therapy clinic center in Atlanta, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. GEORGIA STATE UNIVERSITY PHYSICAL NPI is 1477990695. The provider is registered as an organization entity type.

The provider's business location address is:

66 COURTLAND ST SE STE 108
ATLANTA, GA
ZIP 30303-021
Phone: (404) 413-1415

The provider's authorized official is Amanda Stillings .
The authorized official title is Business Manager and has the following contact phone number (404) 413-1212.

The CLIA number assigned to this NPI record is 11D0687187 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/29/2013 and was last updated on 7/19/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2000XClinic/CenterPhysical TherapyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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