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

Sundance Rehabilitation Agency, LLC

Organization Rehabilitation Clinic/Center · NPI 1760437743

Sundance Rehabilitation Agency, LLC is a Rehabilitation Clinic/Center in Johns Creek, Georgia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11405 Medlock Bridge Rd
Johns Creek, GA 30097-1688
Phone: (470) 299-5049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Clinic/Center (primary) Taxonomy 261QR0400X · Licence N/A

Record details

NPI number1760437743
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSundance Rehabilitation Corporation
Authorized official Ian Oppel — Coo · (980) 254-7007
NPI enumeratedMay 24, 2006
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025
Mailing address101 E State St, Kennett Square, PA 19348-3109

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