P Praxis·MD
● Active Type 2 · Organization

1source Fitness & Sports-Neuro Rehab Llc

Clinic/Center·Lawrenceville, GA· NPI 1922379189 · Enumerated 2012 · 14 years on NPI
1source Fitness & Sports-Neuro Rehab Llc is 1 of 627 clinic/center organizations in Georgia.
NPI age
14 years
Enumerated 2012-01-19
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Adu
Dr. Of Physical Therapy
Last NPPES update
2020-03-20
Source: monthly bulk 2026-05

How this organization compares

Across 627 active clinic/center providers in Georgia.

NPI age
14 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2012 → 2026

2012-01Enumerated in NPPES
2012 2026

Where they practice

Primary practice location
1670 McKendree Church Rd Ste 40
Lawrenceville, GA 300434100
📞 6782574037fax 6788197536
Mailing address
1670 McKendree Church Rd Ste 40
Lawrenceville, GA 300434100
📞 6782574037fax 6788197536

Authorized official

Collin Adu, DPT.MBA.FAAOMPT
Dr. Of Physical Therapy
📞 6782574037

Individual providers at this organization

2 individual providers on file at this primary practice address.

  • Collin Adu, DPT.GCS.FAAOMPT. MBA Physical Therapist NPI 1568754794
  • Thai Khuong, DPT Physical Therapist NPI 1710557970

Specialties

  • Clinic/Center Primary
    An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and...
    GA license #PT009750 taxonomy 261QP2000X

Identifiers

TypeValueNotes
05 (GA) 00319995A

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Onesource Sports Neuro Rehab
    Type code 3 recorded 2020-03-20

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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