Orthosport Physical Therapy Llc in Kennesaw - Physical Therapy

Orthosport Physical Therapy Llc - NPI 1174501100

Orthosport Physical Therapy Llc is a Physical Therapy in Kennesaw, Georgia. Orthosport Physical Therapy Llc practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Orthosport Physical Therapy Llc is 1174501100. The last update date is 2008-02-07.

Orthosport Physical Therapy Llc's current location address is 3450 Acworth Due West Rd Nw, Kennesaw, Georgia. You can contact this provider via phone number 7709747494 and fax number 7709749141. The mailing address for Orthosport Physical Therapy Llc is 3450 Acworth Due West Rd Nw, Kennesaw, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Orthosport Physical Therapy Llc
Address 3450 Acworth Due West Rd Nw, Kennesaw, Georgia
Phone Number 7709747494
Fax Number 7709749141
Sole Proprietor --
Credentials --

Authorized Official

Title or Position FOUNDER AN
Authorized Official Name Chastain E. Kim
Credentials P.T.
Telephone Number 7709747494

NPI Number Detail

NPI Number 1174501100
Provider Enumeration Date 2006-01-09
Last Updated Date 2008-02-07

Provider Mailing Address Detail

Address 3450 Acworth Due West Rd Nw
City Kennesaw
State Georgia (GA)
Post Code 301441001
Phone Number 7709747494
Fax Number 7709749141

Provider's Primary Taxonomy Detail

Speciality Physical Therapy
Taxonomy 261Qp2000X
Licence No 3909
Definition:
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 a

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
393730 GA BLUE CROSS BLUE SHIELD

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FAQs about Orthosport Physical Therapy Llc

What is the unique identifier code issued to Orthosport Physical Therapy Llc by the Centers for Medicare & Medicaid Services?

The Orthosport Physical Therapy Llc has been assigned the NPI (National Provider Identifier) 1174501100. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Orthosport Physical Therapy Llc is physically located?

The Orthosport Physical Therapy Llc is situated at the following address: 3450 Acworth Due West Rd Nw, Kennesaw, GA 301441001.

What is Orthosport Physical Therapy Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Orthosport Physical Therapy Llc's area of specialization is Physical Therapy, and the corresponding taxonomy code that categorizes this field of practice is 261Qp2000X.

On what date was the 1174501100 assigned to Orthosport Physical Therapy Llc?

The Orthosport Physical Therapy Llc was issued its 1174501100 on 2006-01-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Orthosport Physical Therapy Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Orthosport Physical Therapy Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-07.

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