# SHEPPARD'S PROGRESSIVE REHABILITATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Children's Advanced Therapeutic Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912063017
- **Authorized official:** MS. RHONDA SHEPPARD PHYSICAL THERAPIST (CEO OWNER)
- **Authorized official phone:** (678) 422-6271

## Contact information

- **Practice address:** 6505 RIADA CT, MCDONOUGH, GA 30253-8535
- **Practice address phone:** (678) 422-6271
- **Practice address fax:** (678) 422-6696
- **Mailing address:** PO BOX 1666, JONESBORO, GA 30237-1666
- **Mailing address phone:** (678) 422-6271
- **Mailing address fax:** (678) 422-6696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 002406 | GA | Yes |

## Other

- **Enumeration date:** 12/31/2006
- **Last updated:** 08/22/2020