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SOUTH METRO REHAB AND SPORTS MEDICINE LLC NPI 1659655132


NPI Information

NPI: 1659655132
Provider Name: SOUTH METRO REHAB AND SPORTS MEDICINE, LLC
Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
245 VILLAGE CENTER PKWY
SUITE 120
STOCKBRIDGE, GA
ZIP 30281
Phone: (770) 876-5776
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SOUTH METRO REHAB AND SPORTS MEDICINE, LLC is an orthopedic physical therapist in Stockbridge, GA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. SOUTH METRO REHAB AND SPORTS MEDICINE, LLC NPI is 1659655132. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

245 VILLAGE CENTER PKWY
SUITE 120
STOCKBRIDGE, GA
ZIP 30281-096
Phone: (770) 876-5776

The provider's authorized official is John A Mcdowell .
The authorized official title is Co-owner and has the following contact phone number (770) 876-5776.

The enumeration date for this NPI number is 10/3/2011 and was last updated on 12/5/2011.


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
12251X0800XPhysical TherapistOrthopedicYes

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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