OrganizationActive
Health Rehabilitation Professionals
NPI 1104074913 · Physical Therapy Clinic/Center · Conyers, GA
Provider details
- NPI number
- 1104074913
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Queenston Thorpe, Chief Executive Officer(678) 910-2106
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
923 Commercial St Ne
Conyers, GA 30012-4537
Phone: (770) 760-8870
Fax: (770) 760-8870
Street-level locationGet directions
Mailing address
3636 Juhan Rd
Stone Mountain, GA 30087-4309
Other names (DBA / former)
- Doing business as
- Velocity Physical Therapy
Registry dates
- Enumerated
- 2008-09-04
- Last updated
- 2008-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.