Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Back to Action Sports Rehab, LLC

Organization Physical Therapist · NPI 1477987568

Back to Action Sports Rehab, LLC provides Physical Therapist services in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2013.

Licensed in
GA
In the registry since
2013
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

754 Peachtree St NE Ste 105
Atlanta, GA 30308-1206 Not confirmed with CMS for 12 years — call before visiting
Phone: (410) 688-3708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT011203 (GA)

Record details

NPI number1477987568
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lamar Frasier — Owner · (410) 688-3708
Other names Georgia Sports Physical Therapy
NPI enumeratedAugust 26, 2013
Last updated in NPPESApril 8, 2014
Mailing address4936 Green Pointe Way Ne, Marietta, GA 30067-1506

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