IDEAL THERAPY REHABILITATIVE SERVICES II LLC NPI 1912548959

NPI Information

NPI: 1912548959
Provider Name: IDEAL THERAPY REHABILITATIVE SERVICES II, LLC

Doing Business As: IDEAL THERAPY II

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
6572 RIVER PARK DR STE 101
RIVERDALE, GA
ZIP 30274
Phone: (678) 626-1833
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IDEAL THERAPY REHABILITATIVE SERVICES II, LLC is a multi-specialty clinic center in Riverdale, GA. IDEAL THERAPY REHABILITATIVE SERVICES II, LLC NPI is 1912548959. The provider is registered as an organization entity type.
The provider Is Doing Business As Ideal Therapy Ii.

The provider's business location address is:

6572 RIVER PARK DR STE 101
RIVERDALE, GA
ZIP 30274-214
Phone: (678) 626-1833
Fax: (678) 626-1844

The provider's authorized official is Corlette Alexis Luke-cambridge .
The authorized official title is Ceo and has the following contact phone number (404) 994-7727.

The enumeration date for this NPI number is 10/1/2019 and was last updated on 9/30/2021.

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	Primary
1	261QP2000X	Clinic/Center	Physical Therapy	No
2	261QR0400X	Clinic/Center	Rehabilitation	No
3	261QM1300X	Clinic/Center	Multi-Specialty	Yes

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

NPI Synchronization or Removal

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