Provider Demographics
NPI:1245526474
Name:AMERICAN REHABILITATION ASSOCIATES, P.C.
Entity type:Organization
Organization Name:AMERICAN REHABILITATION ASSOCIATES, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHITCHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-841-9168
Mailing Address - Street 1:14 E FIELD ST
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30263-2206
Mailing Address - Country:US
Mailing Address - Phone:720-941-9168
Mailing Address - Fax:
Practice Address - Street 1:101 MCWILLIAMS DR STE B
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-6948
Practice Address - Country:US
Practice Address - Phone:770-570-9792
Practice Address - Fax:570-243-0902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-27
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003146871CMedicaid