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MATRIX REHABILITATION-GEORGIA INC NPI 1518998970


NPI Information

NPI: 1518998970
Provider Name: MATRIX REHABILITATION-GEORGIA INC

Doing Business As: PHYSIOTHERAPY ASSOCIATES-STOCKBRIDGE

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
9050 PERIODOT PARKWAY
SUITE E
STOCKBRIDGE, GA
ZIP 30281
Phone: (770) 474-0540
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MATRIX REHABILITATION-GEORGIA INC is a rehabilitation clinic center in Stockbridge, GA. MATRIX REHABILITATION-GEORGIA INC NPI is 1518998970. The provider is registered as an organization entity type.
The provider Is Doing Business As Physiotherapy Associates-stockbridge.

The provider's business location address is:

9050 PERIODOT PARKWAY
SUITE E
STOCKBRIDGE, GA
ZIP 30281-417
Phone: (770) 474-0540
Fax: (770) 507-0506

The provider's authorized official is Michael E Tarvin .
The authorized official title is Vice President And Secretary and has the following contact phone number (717) 972-1100.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 11/16/2018.


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
1261QR0400XClinic/CenterRehabilitationYes

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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