ONESOURCE SPORTS NEURO REHAB
NPI 1922379189
Clinic/Center - Physical Therapy in Lawrenceville, GA

Active since January 19, 2012
1670 MCKENDREE CHURCH RD STE 40, LAWRENCEVILLE, GA 30043(678) 257-4037(678) 819-7536 Get Directions Write a Review

NPPES record last updated: March 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 20, 2020, Sep 12, 2016 (2 updates tracked since 2016).

About Onesource Sports Neuro Rehab NPPES

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

ONESOURCE SPORTS NEURO REHAB (NPI 1922379189) is a healthcare organization registered as a physical therapy in Lawrenceville, Georgia and active in the NPI registry since January 2012. The organization lists Collin Adu, Dr. Of Physical Therapy, as its authorized official.

NPPES Registry Identity

NPI1922379189
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business Name1SOURCE FITNESS & SPORTS-NEURO REHAB LLC
Location Address1670 MCKENDREE CHURCH RD STE 40Lawrenceville, GA 30043-4100
Mailing Address1670 Mckendree Church Rd Ste 40Lawrenceville, GA 30043-4100 · (678) 257-4037 · Fax (678) 819-7536
Fax(678) 819-7536
Organization SubpartNo
Authorized OfficialCollin AduDr. Of Physical Therapy · (678) 257-4037
Enumeration DateJanuary 19, 2012
Last NPPES UpdateMarch 20, 20202 updates tracked since enumeration
NPPES CertifiedMarch 20, 2020
NPI 1922379189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in GA · PT009750
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
1670 MCKENDREE CHURCH RD STE 40, Lawrenceville, GA 30043

Other Names 1

Doing Business AsOnesource Sports Neuro Rehab

Other Identifiers 1

Medicaid00319995AGA

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Physical Therapist (Orthopedic)
1670 MCKENDREE CHURCH RD STE 40
LAWRENCEVILLE, GA 30043
Physical Therapist
1670 MCKENDREE CHURCH RD STE 40
LAWRENCEVILLE, GA 30043

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 1source Fitness & Sports-Neuro Rehab LLC's NPI number?

The NPI number for 1source Fitness & Sports-Neuro Rehab LLC is 1922379189. It was assigned to this organization in the NPPES registry on January 19, 2012. The provider is doing business as Onesource Sports Neuro Rehab.

Where is 1source Fitness & Sports-Neuro Rehab LLC located?

1source Fitness & Sports-Neuro Rehab LLC is located at 1670 Mckendree Church Rd Ste 40, Lawrenceville, GA 30043. The listed phone number is (678) 257-4037.

What is 1source Fitness & Sports-Neuro Rehab LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

What insurance does 1source Fitness & Sports-Neuro Rehab LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list 1source Fitness & Sports-Neuro Rehab LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 1source Fitness & Sports-Neuro Rehab LLC was last updated on March 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.