AMY RENEE PROFESORSKY (NPI# 1730619222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730619222 |
| Entity Type | Individual |
| Full Name | AMY RENEE PROFESORSKY |
| Credential | DPT |
| Practice Address |
6030 Thrasher Ct Cumming GA 30028-2217 |
| Practice Telephone | 9198181897 |
| Mailing Telephone | 9198181897 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT012918 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6030 THRASHER CT |
| City | CUMMING |
| State | GA |
| Zip Code | 30028-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393508 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5310 Matt Hwy, Cumming, GA 30028 | 2019-12-19 |
| 1568984912 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3655 Browns Bridge Rd, Cumming, GA 30028 | 2017-07-07 |
| 1306131198 | Megin Murphy Ward | Speech-Language Pathologist | 4215 Pheasant Run Trace, Cumming, GA 30028 | 2011-06-09 |
| 1457873416 | Wal-mart East, Lp | Technician/Technologist | 3655 Browns Bridge Rd, Cumming, GA 30028 | 2017-07-12 |
| 1265600654 | Kevin Allen Lowden | Dentist | 755 Mt Vernon Hwy Ne, Suite 440, Atlanta, GA 30028 | 2008-02-19 |
| 1790395697 | Graciela Osses | Registered Nurse | 1945 Dr Bramblett Rd, Cumming, GA 30028-2852 | 2020-08-05 |
| 1033541735 | Kimberley A Linert, Inc | Optometrist | 525 Tribble Gap Rd, #1305, Cumming, GA 30028-2937 | 2013-08-05 |
| 1891044160 | Tabitha Anne Kephart | Specialist/Technologist, Other | 4485 Hubert Martin Rd, Cumming, GA 30028-3269 | 2012-09-02 |
| 1487073904 | North Georgia Therapy for Kids, LLC | Clinic/Center | 4655 Dahlonega Hwy, Cumming, GA 30028-3304 | 2014-04-11 |
| 1609435593 | Jolanda Catoyia Wilkerson | Counselor | 4625 Sundance Cir, Cumming, GA 30028-3416 | 2019-06-13 |
| Find all providers in zip 30028 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588037550 | Spot On Therapy for Kids, LLC | Physical Therapist | 2450 Atlanta Hwy Suite 1001, Cumming, GA 30040-1645 | 2015-11-12 |
| 1508180258 | Julia Nicole Pendley | Physical Therapist | 6470 Ga Highway 400, Cumming, GA 30028-3460 | 2010-03-24 |
| 1245569615 | Laura Carol Dornink | Physical Therapist | 2855 Stratfield Ct, Cumming, GA 30041-8286 | 2009-12-15 |
| 1508077991 | Essential Therapy Services, Inc. | Physical Therapist | 4640 Martin Rd, Cumming, GA 30041-5533 | 2007-05-25 |
| 1295806644 | Monica Kay Rank | Physical Therapist | 3820 Lyles Way, Cumming, GA 30041-9297 | 2006-11-09 |
| 1366529331 | Bearden Pediatric Therapy, Inc. | Physical Therapist | 6470 Concord Rd, Cumming, GA 30040-8501 | 2006-11-01 |
| 1356963946 | Jenna Wisotsky | Physical Therapist | 2450 Atlanta Hwy Ste 701, Cumming, GA 30040-1255 | 2020-05-18 |
| 1518361120 | Pendley Business Ventures, Inc. | Physical Therapist | 6470 Ga Highway 400, Cumming, GA 30028-3460 | 2014-10-11 |
| 1700913522 | Kidztherapy Networks Inc | Physical Therapist | 5975 Parkway North Blvd, Suite 300b, Cumming, GA 30040-1226 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379794 | Building Pathways Therapy LLC | Physical Therapist | 2124 Cheshire Bridge Rd Ne Apt 2006, Atlanta, GA 30324-5731 | 2020-09-04 |
| 1679191464 | Pt Mamas, LLC | Physical Therapist | 5660 Lake Forrest Dr, Atlanta, GA 30342-4635 | 2020-07-08 |
| 1336764869 | Outside The Box Pediatric Therapy Solutions | Physical Therapist | 123 Talbot Rd, Savannah, GA 31410-4015 | 2020-06-10 |
| 1215557921 | Carly Cee Witt Gesite | Physical Therapist | 11785 Northfall Ln Ste 501&502, Alpharetta, GA 30009-7971 | 2020-04-22 |
| 1669009627 | Rebecca Grant | Physical Therapist | 5461 Meridian Mark Rd Ste 300, Atlanta, GA 30342-4014 | 2020-03-26 |
| 1508401704 | Danielle Anderson | Physical Therapist | 2146 Thompson Ave Se, Covington, GA 30014-2819 | 2019-11-12 |
| 1124677919 | Therapy Trails of Evans | Physical Therapist | 536 Grand Slam Dr Ste D, Evans, GA 30809-8045 | 2019-09-05 |
| 1043877459 | Hop, Skip & Jump Pediatric Physical Therapy LLC | Physical Therapist | 912 Milledge Rd, Augusta, GA 30904-4455 | 2019-05-21 |
| 1255894366 | Cicely Annette Watson | Physical Therapist | 2620 Satellite Blvd Ste 100, Duluth, GA 30096-1291 | 2019-04-08 |
| 1942772975 | Wee Care Pediatric Therapy, LLC | Physical Therapist | 335 Old Rail Rd, Bloomingdale, GA 31302-4025 | 2019-01-02 |
| Find all providers with the same taxonomy | ||||
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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.