NPI age
20 years
Enumerated 2006-05-24
● Active Type 2 · Organization
Subpart
Sundance Rehabilitation Agency, Llc
Sundance Rehabilitation Agency, Llc is 1 of 152 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Oppel
Coo
Last NPPES update
2025-12-12
Source: monthly bulk 2026-05
How this organization compares
Across 152 active clinic/center providers in Georgia.
NPI age
20 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
11405 Medlock Bridge Rd
Johns Creek, GA 300971688
Mailing address
101 E State St
Kennett Square, PA 193483109
Authorized official
Ian Oppel
Coo
📞 9802547007
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Carolyn Barylak, OT Occupational Therapist NPI 1598016560
- Timothy Cummins, PTA Physical Therapy Assistant NPI 1467914572
- Jeniece Davis, COTA/L Occupational Therapy Assistant NPI 1831850981
- Soo Jin Hong Physical Therapist NPI 1568874535
- Teresa McAree, P.T. Physical Therapist NPI 1881904589
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
Subpart of Sundance Rehabilitation Corporation.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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