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Organization

EMORY PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY COOPER (MANAGING PARTNER)
(219) 365-6560
Entity
Organization

Contact information

Practice address
3903 S COBB DR SE STE 120, SMYRNA, GA 30080-6301
(404) 251-2121
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878
(219) 365-6560
(219) 365-6561

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5419170001
NSC
GA
01
DD0145
MEDICARE PIN
GA
01
GRP6756
MEDICARE PIN
GA
Enumeration date
07/26/2017
Last updated
03/14/2025
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