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Therasport Physical Therapy INC.

Clinic/Center, Physical Therapy in Johns Creek, GA. Organization (NPI-2).

NPI number1194887315
StatusActive
Last updated in NPPESApr 12, 2011

Details

NPI
1194887315
Entity type
Organization (NPI-2)
Legal business name
Therasport Physical Therapy INC.
Organization subpart
No
Enumeration date
Dec 14, 2006
Last updated
Apr 12, 2011

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2000X Clinic/Center, Physical Therapy––Yes

Practice location

10160 Medlock Bridge Rd
Ste B
Johns Creek, GA 30097-4419

Phone 678-584-1622 · Fax 678-584-1673

Mailing address

Po Box 923387
Norcross, GA 30010-3387

Phone 678-584-1622 · Fax 678-584-1673

Authorized official

Stephen Nicholas Arroyo
Cheif Finacial Officer
6785841622

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Therapy Clinic/Center providers in Johns Creek, GA

All 5 Physical Therapy Clinic/Center providers in Johns Creek · All 1,177 providers in Johns Creek

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