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AGEWELL REHAB AND FITNESS, LLC
NPI 1366800534
Clinic/Center - Rehabilitation in Roswell, GA

Active since February 03, 2016
4060 INVERNESS XING, ROSWELL, GA 30075(404) 823-8157(888) 877-6415 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 15, 2021, Feb 3, 2016 (2 updates tracked since 2016).

About Agewell Rehab And Fitness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGEWELL REHAB AND FITNESS, LLC (NPI 1366800534) is a healthcare organization registered as a rehabilitation in Roswell, Georgia and active in the NPI registry since February 2016. The organization lists William Ivey, Organizer, as its authorized official.

NPPES Registry Identity

NPI1366800534
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameAGEWELL REHAB AND FITNESS, LLC
Location Address4060 INVERNESS XINGRoswell, GA 30075-4781
Mailing Address4060 Inverness XingRoswell, GA 30075-4781 · (404) 823-8157 · Fax (888) 877-6415
Phone(404) 823-8157
Fax(888) 877-6415
Organization SubpartNo
Authorized OfficialWilliam IveyOrganizer · (404) 823-8157
Enumeration DateFebruary 3, 2016
Last NPPES UpdateDecember 15, 20212 updates tracked since enumeration
NPPES CertifiedDecember 15, 2021
✔ NPI 1366800534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RehabilitationAmbulatory Health Care Facilities
Taxonomy Code261QR0400X
License✔ Licensed in GA · PT005195
4060 INVERNESS XING, Roswell, GA 30075
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Agewell Rehab And Fitness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Agewell Rehab And Fitness, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

William Ivey, PT
Physical Therapist in Private Practice
NPI 1568402113
4060 INVERNESS XING
Roswell, GA 30075
(404) 823-8157
Same address
Carrie Duncan, M.S., CCC-SLP
Qualified Speech Language Pathologist
NPI 1831418391
3105 BYWATER TRL
Roswell, GA 30075
(770) 490-8579
0.6 mi
Andrea Eggleston
Occupational Therapist in Private Practice
NPI 1477831956
400 MARIETTA HWY
Roswell, GA 30075
(770) 998-0729
0.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agewell Rehab And Fitness, LLC's NPI number?

The NPI number for Agewell Rehab And Fitness, LLC is 1366800534. It was assigned to this organization in the NPPES registry on February 3, 2016.

Where is Agewell Rehab And Fitness, LLC located?

Agewell Rehab And Fitness, LLC is located at 4060 Inverness Xing, Roswell, GA 30075. The listed phone number is (404) 823-8157.

What is Agewell Rehab And Fitness, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, with taxonomy code 261QR0400X.

Is Agewell Rehab And Fitness, LLC enrolled in Medicare?

Yes. Agewell Rehab And Fitness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Agewell Rehab And Fitness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Agewell Rehab And Fitness, LLC, in Occupational Therapist in Private Practice, Physical Therapist in Private Practice and Qualified Speech Language Pathologist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Agewell Rehab And Fitness, LLC was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.