Provider Demographics
NPI:1437038858
Name:FLEX PT ATL
Entity type:Organization
Organization Name:FLEX PT ATL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, MPH
Authorized Official - Phone:404-445-8784
Mailing Address - Street 1:1033 MONROE DR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30306-3664
Mailing Address - Country:US
Mailing Address - Phone:404-445-8784
Mailing Address - Fax:844-850-2680
Practice Address - Street 1:1033 MONROE DR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30306-3664
Practice Address - Country:US
Practice Address - Phone:404-445-8784
Practice Address - Fax:844-850-2680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation