1184105405 NPI number — PURE REHAB PHYSICAL THERAPY LLC

Table of content: NIMO AHMED (NPI 1750189502)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184105405 NPI number — PURE REHAB PHYSICAL THERAPY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PURE REHAB PHYSICAL THERAPY LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184105405
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/11/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
840 KENNESAW AVE NW STE 2
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MARIETTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30060-7928
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
678-685-7270
Provider Business Mailing Address Fax Number:
678-503-2807

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
840 KENNESAW AVE NW STE 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MARIETTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30060-7928
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-685-7270
Provider Business Practice Location Address Fax Number:
678-503-2807
Provider Enumeration Date:
08/24/2018

Additional Information

Authorized Official

Authorized Official Last Name:
FARTHING
Authorized Official First Name:
AMY
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
678-685-7270

Provider Taxonomy Codes

  • Taxonomy code: 261QP2000X , with the licence number:  00076578 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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