ALPHARETTA THERAPY SERVICES, LLC. NPI 1003020421

Specialist in Alpharetta, GA

NPI 1003020421 Organization Specialist

About ALPHARETTA THERAPY SERVICES, LLC.

Alpharetta Therapy Services, Llc. is a provider established in Alpharetta, Georgia specializing in specialist. The NPI number of Alpharetta Therapy Services, Llc. is 1003020421 and was assigned on May 2007. The practitioner's primary taxonomy code is 174400000X with license number PT007856 (GA). The provider is registered as an organization and their NPI record was last updated one year ago. Alpharetta Therapy Services, Llc. operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Mike M. Difrakhsh Mpt (Physical Therapist)

NPI

1003020421

Provider NameALPHARETTA THERAPY SERVICES, LLC.
Provider Location Address145 SABLE POINTE DR ALPHARETTA, GA 30004
Provider Mailing Address145 SABLE POINTE DR ALPHARETTA, GA 30004
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-09-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.PT007856
License StateGA
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

ALPHARETTA THERAPY SERVICES, LLC.
145 SABLE POINTE DR
ALPHARETTA, GA
ZIP 30004
Phone: (678) 983-5304
Fax: (770) 667-9940

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Mailing Address

ALPHARETTA THERAPY SERVICES, LLC.
145 SABLE POINTE DR
ALPHARETTA, GA
ZIP 30004
Phone: (678) 983-5304
Fax: (770) 667-9940



Authorized Official

Authorized Official NameMR. MIKE M. DIFRAKHSH MPT
Authorized Official TitlePHYSICAL THERAPIST
Authorized Official Phone(678) 983-5304

Group Taxonomy


193400000X MULTIPLE SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.