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SUNDANCE REHABILITATION AGENCY, LLC
NPI 1760437743
Clinic/Center - Rehabilitation in Johns Creek, GA

Active since May 24, 2006
11405 MEDLOCK BRIDGE RD, JOHNS CREEK, GA 30097(470) 299-5049 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2025, Nov 26, 2019, Feb 23, 2018 and 1 more (4 updates tracked since 2017).

About Sundance Rehabilitation Agency, Llc NPPES

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

SUNDANCE REHABILITATION AGENCY, LLC (NPI 1760437743) is a healthcare organization registered as a rehabilitation in Johns Creek, Georgia and active in the NPI registry since May 2006. The organization lists Ian Oppel, Coo, as its authorized official.

NPPES Registry Identity

NPI1760437743
Entity TypeOrganization
Primary Taxonomy261QR0400X
Legal Business NameSUNDANCE REHABILITATION AGENCY, LLC
Location Address11405 MEDLOCK BRIDGE RDJohns Creek, GA 30097-1688
Mailing Address101 E State StKennett Square, PA 19348-3109 · (800) 728-8808 · Fax (610) 347-4147
Phone(470) 299-5049
Organization SubpartYesParent: Sundance Rehabilitation Corporation
Authorized OfficialIan OppelCoo · (980) 254-7007
Enumeration DateMay 24, 2006
Last NPPES UpdateDecember 12, 20254 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1760437743 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 · N/A
11405 MEDLOCK BRIDGE RD, Johns Creek, GA 30097
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WSSH SUNDANCE REHAB, LLC
Clinic/Center (Rehabilitation)
11405 MEDLOCK BRIDGE RD
JOHNS CREEK, GA 30097
Gwinnett County (323) 928-9445
MR. TIMOTHY ALAN CUMMINS PTA
Physical Therapy Assistant
11405 MEDLOCK BRIDGE RD
JOHNS CREEK, GA 30097
Gwinnett County (770) 814-0505
SOO JIN HONG
Physical Therapist
11405 MEDLOCK BRIDGE RD
JOHNS CREEK, GA 30097
Gwinnett County (678) 584-0415
MRS. CAROLYN JILL BARYLAK OT
Occupational Therapist
11405 MEDLOCK BRIDGE RD
JOHNS CREEK, GA 30097
Gwinnett County (770) 814-0505
JENIECE DAVIS COTA/L
Occupational Therapy Assistant
11405 MEDLOCK BRIDGE RD
JOHNS CREEK, GA 30097
Gwinnett County (770) 814-0505
TERESA ANGELA MCAREE P.T.
Physical Therapist
11405 MEDLOCK BRIDGE RD
JOHNS CREEK, GA 30097
Gwinnett County (678) 584-0415
AMY BELOTE PT
Physical Therapist
11405 MEDLOCK BRIDGE RD
DULUTH, GA 30097
Gwinnett County (470) 299-5049

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 Sundance Rehabilitation Agency, LLC's NPI number?

The NPI number for Sundance Rehabilitation Agency, LLC is 1760437743. It was assigned to this organization in the NPPES registry on May 24, 2006.

Where is Sundance Rehabilitation Agency, LLC located?

Sundance Rehabilitation Agency, LLC is located at 11405 Medlock Bridge Rd, Johns Creek, GA 30097. The listed phone number is (470) 299-5049.

What is Sundance Rehabilitation Agency, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Sundance Rehabilitation Agency, LLC was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.