Provider Demographics
NPI:1821801549
Name:RUMBLE, ZACHARY C
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:C
Last Name:RUMBLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1579 MONROE DR NE STE 819
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-5039
Mailing Address - Country:US
Mailing Address - Phone:404-600-4627
Mailing Address - Fax:470-270-8130
Practice Address - Street 1:1328 DEKALB AVE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30307-2027
Practice Address - Country:US
Practice Address - Phone:404-600-4627
Practice Address - Fax:470-270-8130
Is Sole Proprietor?:No
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT0175172251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic