Provider Demographics
NPI:1326544297
Name:STERLING SPORTS MEDICINE & PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:STERLING SPORTS MEDICINE & PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:BROOKS
Authorized Official - Last Name:STERLING
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, MTC, CSCS
Authorized Official - Phone:404-277-9624
Mailing Address - Street 1:1980 DAVES CREEK TRL
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-6947
Mailing Address - Country:US
Mailing Address - Phone:404-277-9624
Mailing Address - Fax:
Practice Address - Street 1:1980 DAVES CREEK TRL
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-6947
Practice Address - Country:US
Practice Address - Phone:404-277-9624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-31
Last Update Date:2018-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA010277261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy