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

Onesource Osteopractic Rehab

Organization Physical Medicine & Rehabilitation Physician · NPI 1417735960

Onesource Osteopractic Rehab is a Physical Medicine & Rehabilitation Physician in Loganville, Georgia. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
5

Practice location Address checks out

367 Athens Hwy Ste 1100
Loganville, GA 30052-8256
Phone: (678) 250-4035
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Clinical Electrophysiology Physical Therapist Taxonomy 2251E1300X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1417735960
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Collin Adu — Ceo · (678) 548-0879
Other names Onesource Sports Neuro Rehab
NPI enumeratedSeptember 18, 2023
Last updated in NPPESSeptember 18, 2023
Certification dateSeptember 17, 2023
Mailing address367 Athens Hwy Ste 1100, Loganville, GA 30052-8256

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