1source Fitness & Sports-Neuro Rehab LLC
NPI 1922379189 · Physical Therapy Clinic/Center · Lawrenceville, GA
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
1source Fitness & Sports-Neuro Rehab LLC is a Physical Therapy Clinic/Center organization in Lawrenceville, GA (NPI 1922379189).
Provider details
- NPI number
- 1922379189
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Collin Adu, Dr. of Physical Therapy(678) 257-4037
- License
- PT009750 (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
14 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
Other names (DBA / former)
- Doing business as
- Onesource Sports Neuro Rehab
Registry dates
- Enumerated
- 2012-01-19
- Last updated
- 2020-03-20
- Certified
- 2020-03-20
Frequently asked questions
- What is 1source Fitness & Sports-Neuro Rehab LLC's NPI number?
- 1source Fitness & Sports-Neuro Rehab LLC's National Provider Identifier (NPI) is 1922379189, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1source Fitness & Sports-Neuro Rehab LLC?
- 1source Fitness & Sports-Neuro Rehab LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is 1source Fitness & Sports-Neuro Rehab LLC located?
- 1source Fitness & Sports-Neuro Rehab LLC's practice location on file with NPPES is 1670 Mckendree Church Rd Ste 40, Lawrenceville, GA 30043-4100.
- What is 1source Fitness & Sports-Neuro Rehab LLC's phone number?
- The practice phone number listed in the NPPES registry for 1source Fitness & Sports-Neuro Rehab LLC is (678) 257-4037.
- Does 1source Fitness & Sports-Neuro Rehab LLC accept Medicare?
- 1source Fitness & Sports-Neuro Rehab 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 1source Fitness & Sports-Neuro Rehab LLC?
- The authorized official listed on 1source Fitness & Sports-Neuro Rehab LLC's NPPES record is Collin Adu, Dr. of Physical Therapy. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1source Fitness & Sports-Neuro Rehab LLC's NPI active?
- Yes — 1source Fitness & Sports-Neuro Rehab LLC's NPI (1922379189) is active in the NPPES registry as of the last update on 2020-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.