Healthcare Provider Details

I. General information

NPI: 1225166267
Provider Name (Legal Business Name): BODY MECHANICS PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 PEACHTREE STREET SUITE 1760
ATLANTA GA
30308
US

IV. Provider business mailing address

1296 SIMS ST SUITE A
GAINESVILLE GA
30501-3850
US

V. Phone/Fax

Practice location:
  • Phone: 404-817-0734
  • Fax:
Mailing address:
  • Phone: 770-297-1700
  • Fax: 770-297-1702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: GAIL CONSOLA
Title or Position: AR DIRECTOR
Credential:
Phone: 770-297-1700