Tri-Cities Sports Medicine And Rehab

LBN: Physically Empowered Therapy & Wellness
Tri-Cities Sports Medicine And Rehab is an health care organization with primary practice located at 2300 Sugarleaf Trail , Hampton GA 30228. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as the primary health care specialty. Physically Empowered Therapy & Wellness can be contacted via phone (770) 203-5144, or through Alencastro, Jeancarlo via phone (770) 203-5144.

Contact Information

Primary practice address
2300 Sugarleaf Trail Hampton GA 30228
Phone: (770) 203-5144
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Alencastro, Jeancarlo ATC/L
Phone: (770) 203-5144

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT001665 Georgia

Profile Details

NPI number 1114215233
LBN Legal business name Physically Empowered Therapy & Wellness
DBA Doing business as Tri-Cities Sports Medicine And Rehab
Authorized official Alencastro, Jeancarlo ATC/L
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2011
Last updated Aug 1st, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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