Healthcare Provider Details

I. General information

NPI: 1437038858
Provider Name (Legal Business Name): FLEX PT ATL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2025
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1033 MONROE DR NE
ATLANTA GA
30306-3664
US

IV. Provider business mailing address

1033 MONROE DR NE
ATLANTA GA
30306-3664
US

V. Phone/Fax

Practice location:
  • Phone: 404-445-8784
  • Fax: 844-850-2680
Mailing address:
  • Phone: 404-445-8784
  • Fax: 844-850-2680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LANCE FRANK
Title or Position: CEO
Credential: PT, DPT, MPH
Phone: 404-445-8784