OrganizationActive
Wellspring Therapy Associates, LLC
NPI 1699858191 · Rehabilitation Clinic/Center · Cleveland, GA
Provider details
- NPI number
- 1699858191
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Grayson Gentzel, Administrator(706) 348-2004
- License
- 624036001 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
10 S Brook St
Suite 2
Cleveland, GA 30528-1151
Phone: (706) 348-2004
Fax: (706) 348-2014
Street-level locationGet directions
Mailing address
10 S. Brook St.
Cleveland, GA 30528-0014
Registry dates
- Enumerated
- 2006-10-20
- Last updated
- 2009-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.