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SOVEREIGN REHABILITATION OF GEORGIA LLC NPI 1407028921


NPI Information

NPI: 1407028921
Provider Name: SOVEREIGN REHABILITATION OF GEORGIA, LLC

Doing Business As: CENTERS FOR ORTHOPEDIC REHAB

Classification: Occupational Therapist - 225XH1200X
Entity Type: Organization

Specialization: Hand

Address:
3280 HOWELL MILL RD NW
SUITE 345
ATLANTA, GA
ZIP 30327
Phone: (404) 477-0427
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SOVEREIGN REHABILITATION OF GEORGIA, LLC is a hand occupational therapist in Atlanta, GA. SOVEREIGN REHABILITATION OF GEORGIA, LLC NPI is 1407028921. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Centers For Orthopedic Rehab.

The provider's business location address is:

3280 HOWELL MILL RD NW
SUITE 345
ATLANTA, GA
ZIP 30327-111
Phone: (404) 477-0427
Fax: (404) 477-0447

The provider's authorized official is Alan J Grodin .
The authorized official title is President and has the following contact phone number (404) 835-3343.

The enumeration date for this NPI number is 3/25/2008 and was last updated on 7/19/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225XH1200XOccupational TherapistHandOT000701GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1116873MEDICARE OSCAR/CERTIFICATIONGEORGIA

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: 4/28/2024

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