ATLANTA PHYSICAL THERAPY CLINIC, INC. (NPI# 1225129638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225129638 |
| Entity Type | Organization |
| Organization Name | ATLANTA PHYSICAL THERAPY CLINIC, INC. |
| Practice Address |
980 Johnson Ferry Rd Ne Suite 1040 Atlanta GA 30342-1626 |
| Mailing Address |
709 Old Burton Rd Clarkesville GA 30523-1142 |
| Practice Telephone | 4042527513 |
| Practice Fax Number | 7069470109 |
| Mailing Telephone | 7069471058 |
| Mailing Fax Number | 7069470109 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. BAMBI J WOMACK (CEO) |
| Authorized Official Telephone | 4042527513 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 225100000X | Physical Therapist | 1093 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2251H1200X |
Physical Therapist Specialization: Hand |
1093 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2251N0400X |
Physical Therapist Specialization: Neurology |
1093 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2251S0007X |
Physical Therapist Specialization: Sports |
1093 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
1093 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BCBS PROVDER # | 52885735 | 01 |
| Street Address |
980 JOHNSON FERRY RD NE SUITE 1040 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134121007 | Sidney A Funk | Specialist | 980 Johnson Ferry Rd Ne, #720, Atlanta, GA 30342-1626 | 2005-08-11 |
| 1629341359 | Carole J. Hess | Nurse Practitioner | 980 Johnson Ferry Rd Ne, Suite 910, Atlanta, GA 30342-1626 | 2012-02-10 |
| 1629354923 | Erin Anne O'connell | Nurse Practitioner | 980 Johnson Ferry Rd Ne, Suite 410, Atlanta, GA 30342-1626 | 2011-10-31 |
| 1750663118 | Southeastern Gynecologic Oncology At Saint Joseph's, LLC | Urology | 980 Johnson Ferry Rd Ne, Suite 900, Atlanta, GA 30342-1609 | 2011-09-12 |
| 1548556426 | Barbara Judith Boros | Nurse Practitioner | 980 Johnson Ferry Rd Ne, Suite #410, Atlanta, GA 30342-1626 | 2011-06-20 |
| 1538463963 | Ronald Leif Steenerson, Md PC | Specialist | 980 Johnson Ferry Rd Ne, Suite 470, Atlanta, GA 30342-1626 | 2010-12-28 |
| 1518288943 | The Hand & Upper Extremity Center of Georgia, P.C. | Orthopaedic Surgery | 980 Johnson Ferry Rd Ne, Suite 1020, Atlanta, GA 30342-1626 | 2010-06-21 |
| 1700105996 | The Pediatric Hand & Upper Extremity Center of Georgia, LLC | Orthopaedic Surgery | 980 Johnson Ferry Rd Ne, Suite 1020, Atlanta, GA 30342-1626 | 2010-05-27 |
| 1548496896 | Home Dialysis of North Atlanta, Inc | Clinic/Center | 980 Johnson Ferry Rd Ne, Suite 410a, Atlanta, GA 30342-1626 | 2009-06-01 |
| 1326293853 | Christine Manning Scott | Nurse Practitioner | 980 Johnson Ferry Rd Ne, Suite 660, Atlanta, GA 30342-1626 | 2008-11-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558969204 | Caitlin P Knowles | Physical Therapist | 349 Delmont Dr Ne, Atlanta, GA 30305-3220 | 2020-10-14 |
| 1659981322 | Gerald E Roettger | Physical Therapist | 2955 Peachtree Road Nw, Suite A1, Atlanta, GA 30305 | 2020-08-06 |
| 1063021251 | Zachary Vinsant | Physical Therapist | 4620 Wieuca Rd Ne Apt 26, Atlanta, GA 30342-3335 | 2020-07-23 |
| 1538777198 | Megan Mclees Washburn | Physical Therapist | 2448 Chestnut Lndg, Atlanta, GA 30360-2198 | 2020-07-20 |
| 1710521471 | Alexandra Marie Evancho | Physical Therapist | 141 Lindbergh Dr Ne Unit A, Atlanta, GA 30305-3765 | 2019-11-05 |
| 1386292217 | Andrew Michael Benton | Physical Therapist | 550 Peachtree St Ne Ste 1760, Atlanta, GA 30308-2262 | 2019-09-04 |
| 1093369548 | Gordon Peace | Physical Therapist | 705 Town Blvd Ne S 550, Atlanta, GA 30319 | 2019-08-01 |
| 1366094443 | Kelly Elizabeth Mckinnon | Physical Therapist | 2001 Peachtree Rd Ne Ste 200, Atlanta, GA 30309-1476 | 2019-07-10 |
| 1295292555 | Christina Diggs | Physical Therapist | 550 Peachtree St Ne # L231, Atlanta, GA 30308-2247 | 2019-02-22 |
| 1265998066 | Megan Elizabeth Ruger | Physical Therapist | 636 Cresthill Ave Ne, Atlanta, GA 30306-3640 | 2019-02-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.