Healthcare Provider Details

I. General information

NPI: 1205059748
Provider Name (Legal Business Name): ADVANCED REHAB, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5172 MCGINNIS FERRY RD
ALPHARETTA GA
30005-1792
US

IV. Provider business mailing address

5172 MCGINNIS FERRY RD
ALPHARETTA GA
30005-1792
US

V. Phone/Fax

Practice location:
  • Phone: 678-624-0000
  • Fax: 678-624-0002
Mailing address:
  • Phone: 678-624-0000
  • Fax: 678-624-0002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCHIR006744
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2081H0002X
TaxonomyHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
License Number055151
License Number StateGA

VIII. Authorized Official

Name: KRIS FRANKENBERG
Title or Position: CLINIC DIRECTOR
Credential: DC.
Phone: 678-624-0000