Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Georgia Tech Sports Medicine and Rehab

Organization Physical Therapist · NPI 1417178633

Georgia Tech Sports Medicine and Rehab is a Physical Therapist in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

150 Bobby Dodd Way
Atlanta, GA 30332-0001
Phone: (404) 385-4115
Fax: (404) 894-0695
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6601 (GA)

Record details

NPI number1417178633
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlie Ridgeway — Physical Therapist Clinic Director · (404) 385-4115
NPI enumeratedMay 2, 2007
Last updated in NPPESAugust 22, 2020
Mailing address150 Bobby Dodd Way, Atlanta, GA 30332-0001

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