Orthosport Physical Therapy Llc

LBN: Orthosport Physical Therapy Llc
Orthosport Physical Therapy Llc is an health care organization with primary practice located at 3450 Acworth Due West Rd Nw Suite 310, Kennesaw GA 30144. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Orthosport Physical Therapy Llc can be contacted via phone (770) 974-7494, or through Chastain, Kim E. via phone (770) 974-7494.

Contact Information

Primary practice address
3450 Acworth Due West Rd Nw Suite 310 Kennesaw GA 30144
Phone: (770) 974-7494
Fax: (770) 974-9141
Website:
Map and Directions
Authorized official contact:
Name: Chastain, Kim E. Physical Therapist (PT)
Phone: (770) 974-7494

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 3909 Georgia

Profile Details

NPI number 1174501100
LBN Legal business name Orthosport Physical Therapy Llc
DBA Doing business as
Authorized official Chastain, Kim E. Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2006
Last updated Feb 7th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174501100 NPPES
Georgia Other 393730 BLUE CROSS BLUE SHIELD

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