Organization Active NPI

Physical Therapy Consultants Inc

  • Physical Therapist
  • Marietta, GA
National Provider Identifier
1013997113
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT001438 Issued in GA
Legal business name
PHYSICAL THERAPY CONSULTANTS INC
Practice address
732 Kennesaw Ave
Ste 120
Marietta, GA 30060-9406
Phone
(770) 425-4205
Fax
(770) 425-4247
NPI assigned
Jan 17, 2006
Last updated
Feb 27, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
PHYSICAL THERAPY CONSULTANTS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Cindy K Richards, PT, OCS, MTC, MBANPI 1639372287
Title
Ceo
Phone
(770) 425-4205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT001438 GA Primary

Addresses

Primary practice location

732 Kennesaw Ave
Ste 120
Marietta, GA 30060-9406

Mailing address

732 Kennesaw Ave
Ste 120
Marietta, GA 30060-9406
Phone (770) 425-4205

Other names 1

  • Cindy Richards Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141113000961 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0547484123 Receives reassigned benefits from 1 practitioner
Practice locations: Marietta, GA

National Provider Directory

National Provider Directory
Part of
Physical Therapy Consul

Locations

732 Kennesaw Ave NW
Ste 120
Marietta, GA 30060
Phone (770) 425-4205

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1013997113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 KENNESAW AVE",
            "address_2": "STE 120",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609406",
            "telephone_number": "770-425-4205",
            "fax_number": "770-425-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 KENNESAW AVE",
            "address_2": "STE 120",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609406",
            "telephone_number": "770-425-4205",
            "fax_number": "770-425-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CONSULTANTS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICAL THERAPY CONSULTANTS, INC",
        "enumeration_date": "2006-01-17",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-425-4205",
        "authorized_official_credential": "PT, OCS, MTC, MBA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT001438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cindy Richards",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.