NICOLE MEREDITH BERUTICH (NPI# 1942401377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942401377 |
| Entity Type | Individual |
| Full Name | NICOLE MEREDITH BERUTICH |
| Credential | PT |
| Practice Address |
1121 Johnson Ferry Rd Suite 210 Marietta GA 30068-5425 |
| Mailing Address |
203 Winterbury Dr Canton GA 30114-1234 |
| Practice Telephone | 7709778111 |
| Practice Fax Number | 7705655941 |
| Mailing Telephone | 6784516327 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT008114 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1121 JOHNSON FERRY RD SUITE 210 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30068-5425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932195013 | Susan Stephen Glander | Obstetrics & Gynecology | 1121 Johnson Ferry Rd, Suite 150, Marietta, GA 30068-5425 | 2005-09-23 |
| 1801224167 | Roquin Pain Center | Clinic/Center | 1121 Johnson Ferry Rd, Suite 340, Marietta, GA 30068-5425 | 2013-10-24 |
| 1255776134 | Optimal Health Care, LLC | Internal Medicine | 1121 Johnson Ferry Rd, Suite 205, Marietta, GA 30068-5425 | 2013-05-06 |
| 1215270368 | Julie C Tanner | Dentist | 1121 Johnson Ferry Rd, Suite 450, Marietta, GA 30068-5425 | 2013-03-27 |
| 1396000279 | Premier Podiatry-east Cobb | Podiatrist | 1121 Johnson Ferry Rd, Building 1, Suite 215, Marietta, GA 30068-5425 | 2012-07-07 |
| 1447541206 | Stephen Mitchell Martin | Emergency Medicine | 1121 Johnson Ferry Rd, Suite 100, Marietta, GA 30068-5425 | 2011-04-28 |
| 1477866234 | Vanessa D Dunn | Nurse Practitioner | 1121 Johnson Ferry Rd, Suite 100, Marietta, GA 30068-5425 | 2010-07-22 |
| 1376798272 | Jennifer Louise Billingsley | Dental Assistant | 1121 Johnson Ferry Rd, Suite 320, Marietta, GA 30068-5425 | 2008-11-20 |
| 1093981227 | Deanna M Fetsch | Nurse Practitioner | 1121 Johnson Ferry Rd, Suite 220, Marietta, GA 30068-5425 | 2008-05-07 |
| 1821264516 | Sharon Lebedin | Nurse Practitioner | 1121 Johnson Ferry Rd, Suite 220, Marietta, GA 30068-5425 | 2008-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
| 1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
| 1952949893 | Dr Amy L Varner LLC | Internal Medicine | 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 | 2019-12-11 |
| 1417501834 | Cornerstone Hospice and Palliative Care of Georgia, LLC | Hospice Care, Community Based | 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 | 2019-07-25 |
| 1639721038 | Cayla Clark | Behavior Technician | 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 | 2019-07-15 |
| 1467910828 | 2me Healthcare,llc | Home Health | 2586 Club Valley Drive Ne, Marietta, GA 30068 | 2019-03-05 |
| 1265912604 | Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic | Chiropractor | 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 | 2018-08-15 |
| 1225514219 | Audrey Hughes. Lcsw, LLC | Clinic/Center | 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 | 2018-07-13 |
| 1316461379 | Evan King | Registered Nurse | 52 Pioneer Trl, Marietta, GA 30068 | 2017-08-01 |
| 1912431867 | Anthony Izore | Nurse Practitioner | 5163 Tall Oak Drive, Marietta, GA 30068 | 2017-04-18 |
| Find all providers in zip 30068 | ||||
| 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 |
|---|---|---|---|---|
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1326658022 | Tim L Ward | Physical Therapist | 1972 Willeo Creek Pt, Marietta, GA 30068-1554 | 2020-08-06 |
| 1104459205 | Lori Reethof | Physical Therapist | 630 Gunby Rd Se, Marietta, GA 30067-5132 | 2020-02-17 |
| 1013563436 | Kristin Lauterbach | Physical Therapist | 3405 Dallas Hwy Sw Ste 601, Marietta, GA 30064-6427 | 2019-08-12 |
| 1285133207 | Ashley Denae Chisholm | Physical Therapist | 3451 Ernest W Barrett Pkwy Nw Ste 170, Marietta, GA 30064-5037 | 2018-02-05 |
| 1356853931 | Samantha Yarc | Physical Therapist | 2850 Johnson Ferry Rd Ste 100, Marietta, GA 30062-5684 | 2017-11-03 |
| 1760901482 | Melissa Centofante | Physical Therapist | 920 Burnt Hickory Rd Nw, Marietta, GA 30064-2041 | 2017-09-13 |
| 1376060509 | Alisa Malte | Physical Therapist | 2285 Priscilla Dr, Marietta, GA 30066-4629 | 2017-08-28 |
| 1861914145 | William Brooks Taylor | Physical Therapist | 335 Roselane St Nw Ste 201, Marietta, GA 30060-7902 | 2017-07-08 |
| 1922537836 | Martin Weatherby | Physical Therapist | 1054 Shallowford Rd, Marietta, GA 30066-1002 | 2017-06-06 |
| Find all providers in MARIETTA | ||||
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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.