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AGAPE SPORTS PERFORMANCE WELLNESS AND REHAB NPI 1427218106


NPI Information

NPI: 1427218106
Provider Name: AGAPE SPORTS PERFORMANCE WELLNESS AND REHAB
Classification: Clinic/Center - 261QP2000X
Entity Type: Organization

Specialization: Physical Therapy

CLIA Number: 11D1031796

Address:
402 BECKETT LANE
FAYETTEVILLE, GA
ZIP 30214
Phone: (404) 839-0841
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AGAPE SPORTS PERFORMANCE WELLNESS AND REHAB is a physical therapy clinic center in Fayetteville, 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. AGAPE SPORTS PERFORMANCE WELLNESS AND REHAB NPI is 1427218106. The provider is registered as an organization entity type.

The provider's business location address is:

402 BECKETT LANE
FAYETTEVILLE, GA
ZIP 30214
Phone: (404) 839-0841

The provider's authorized official is Tola O C Akomolafe .
The authorized official title is Ceo and has the following contact phone number (770) 839-0841.

The CLIA number assigned to this NPI record is 11D1031796 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/16/2008 and was last updated on 6/16/2008.


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 TherapyPT 04336GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1166964592OTHERGEORGIANPPES/NPI

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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