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

Outlast Sports Rehabilitation, LLC

Organization Physical Therapist · NPI 1699612846

Outlast Sports Rehabilitation, LLC provides Physical Therapist services in Holly Springs, Georgia. Registered with an NPI since 2026.

In the registry since
2026
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

330 Ronnell Rd Bldg 300
Holly Springs, GA 30115-8636
Phone: (404) 308-0817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1699612846
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Earnest — Owner · (404) 308-0817
NPI enumeratedMay 4, 2026
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026
Mailing address330 Ronnell Rd Bldg 300, Holly Springs, GA 30115-8636

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