Agewell Rehab and Fitness, LLC
NPI 1366800534 · Rehabilitation Clinic/Center · Roswell, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Agewell Rehab and Fitness, LLC is a Rehabilitation Clinic/Center organization in Roswell, GA (NPI 1366800534).
Provider details
- NPI number
- 1366800534
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Ivey, Organizer(404) 823-8157
- License
- PT005195 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Registry dates
- Enumerated
- 2016-02-03
- Last updated
- 2021-12-15
- Certified
- 2021-12-15
Frequently asked questions
- What is Agewell Rehab and Fitness, LLC's NPI number?
- Agewell Rehab and Fitness, LLC's National Provider Identifier (NPI) is 1366800534, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Agewell Rehab and Fitness, LLC?
- Agewell Rehab and Fitness, LLC is classified in the NPPES registry as Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Agewell Rehab and Fitness, LLC located?
- Agewell Rehab and Fitness, LLC's practice location on file with NPPES is 4060 Inverness Xing, Roswell, GA 30075-4781.
- What is Agewell Rehab and Fitness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Agewell Rehab and Fitness, LLC is (404) 823-8157.
- Does Agewell Rehab and Fitness, LLC accept Medicare?
- Agewell Rehab and Fitness, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Agewell Rehab and Fitness, LLC?
- The authorized official listed on Agewell Rehab and Fitness, LLC's NPPES record is William Ivey, Organizer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Agewell Rehab and Fitness, LLC's NPI active?
- Yes — Agewell Rehab and Fitness, LLC's NPI (1366800534) is active in the NPPES registry as of the last update on 2021-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.