Outlast Sports Rehabilitation, Llc is a
Physical Therapist based in Holly Springs, Georgia. Outlast Sports Rehabilitation, Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
330 Ronnell Rd Bldg 300, Holly Springs, Georgia. It can be reached at their office (for appointments etc.) via phone at
(404) 308-0817.
NPI number for Outlast Sports Rehabilitation, Llc is 1699612846 and their current mailing address is 330 Ronnell Rd Bldg 300, Holly Springs, Georgia. Outlast Sports Rehabilitation, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1699612846.
Healthcare Provider's Profile
| Full Name | Outlast Sports Rehabilitation, Llc |
|---|
| Type | Facility |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 330 Ronnell Rd Bldg 300, Holly Springs, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699612846
- Provider Enumeration Date: 05/04/2026
- Last Update Date: 05/04/2026
Medical Identifiers
Medical identifiers for Outlast Sports Rehabilitation, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699612846 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Outlast Sports Rehabilitation, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Outlast Sports Rehabilitation, Llc 330 Ronnell Rd Bldg 300, Holly Springs, GA 30115-8636 Ph: (404) 308-0817 | Outlast Sports Rehabilitation, Llc 330 Ronnell Rd Bldg 300, Holly Springs, GA 30115-8636 Ph: (404) 308-0817 |
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