Individual provider Active NPI

Catharine Teann Seo, PT

  • Physical Therapist
  • Ball Ground, GA
National Provider Identifier
1013531375
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5882 Issued in GA
Practice address
697 Henry Scott Rd
Ball Ground, GA 30107-4835
Phone
(770) 490-0442
NPI assigned
Jun 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5882 GA Primary

Addresses

Primary practice location

697 Henry Scott Rd
Ball Ground, GA 30107-4835

Mailing address

697 Henry Scott Rd
Ball Ground, GA 30107-4835

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL family.seo@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210219000301 GA Practitioner - Physical Therapist in Private Practice 5799190013 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5882GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Georgia, LLC Physical Therapist CurrentSince Feb 17, 2021 Accepting new patients

Locations

762 N Main St
Alpharetta, GA 30009
Phone (678) 268-6335

253 N Main St
Alpharetta, GA 30009
Phone (770) 299-0345

125 Riverstone Ter
Canton, GA 30114
Phone (770) 479-0472

1479 Grove Park Dr
Columbus, GA 31904
Phone (706) 222-7188

5610 Hampton Park Dr
Cumming, GA 30041
Phone (470) 866-5540

7955 Majors Rd
Cumming, GA 30041
Phone (678) 648-5239

5373 Thompson Mill Rd
Hoschton, GA 30548
Phone (678) 358-6200

166 Oakland Pkwy
Leesburg, GA 31763
Phone (229) 232-8520

550 Barrington Dr
Roswell, GA 30075
Phone (678) 436-8672

4580 Towne Lake Pkwy
Woodstock, GA 30189
Phone (678) 771-6459

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1013531375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 HENRY SCOTT RD",
            "city": "BALL GROUND",
            "state": "GA",
            "postal_code": "301074835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 HENRY SCOTT RD",
            "city": "BALL GROUND",
            "state": "GA",
            "postal_code": "301074835",
            "telephone_number": "770-490-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEO",
        "first_name": "CATHARINE",
        "middle_name": "TEANN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "5882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "family.seo@gmail.com",
            "affiliation": "N",
            "endpointDescription": "personal email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "697 Henry Scott Rd",
            "city": "Ball Ground",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301074835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ball Ground, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.