1477987568 NPI number — BACK TO ACTION SPORTS REHAB, LLC.

Table of content: (NPI 1477987568)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477987568 NPI number — BACK TO ACTION SPORTS REHAB, LLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BACK TO ACTION SPORTS REHAB, 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:
6
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:
1477987568
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/08/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4936 GREEN POINTE WAY NE
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:
30067-1506
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-688-3708
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
754 PEACHTREE ST NE
Provider Second Line Business Practice Location Address:
SUITE 105
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30308-1206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-688-3708
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/26/2013

Additional Information

Authorized Official

Authorized Official Last Name:
FRASIER
Authorized Official First Name:
LAMAR
Authorized Official Middle Name:
B.
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
410-688-3708

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  PT011203 , 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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