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ISLAND REHAB LLC NPI 1295881134


NPI Information

NPI: 1295881134
Provider Name: ISLAND REHAB LLC
Classification: Physical Therapist - 2251G0304X
Entity Type: Organization

Specialization: Geriatrics

Address:
3711 SUWANEE CREEK CT
SUWANEE, GA
ZIP 30024
Phone: (770) 317-5512
Get Directions

ISLAND REHAB LLC is a geriatrics physical therapist in Suwanee, GA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult. ISLAND REHAB LLC NPI is 1295881134. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3711 SUWANEE CREEK CT
SUWANEE, GA
ZIP 30024-435
Phone: (770) 317-5512

The provider's authorized official is Joseph Philip Pickavance .
The authorized official title is Partner and has the following contact phone number (404) 232-0300.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 8/22/2020.


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
12251G0304XPhysical TherapistGeriatrics0000003767GEORGIAYes

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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