Active NPI
Joshua Elder
- Physical Therapist
- Dawsonville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016191
- Practice address
- 78 Dawson Village Way N Ste 230
Dawsonville, GA 30534-5642 - Phone
- (706) 265-3575
- NPI assigned
- Sep 13, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016191 | GA | Primary |
Addresses
Primary practice location
78 Dawson Village Way N Ste 230
Dawsonville, GA 30534-5642
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915
Phone (423) 238-8923
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221014000821 | GA | Practitioner - Physical Therapist in Private Practice | 0941676068 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
78 Dawson Village Way N
Suite 230
Dawsonville, GA 30534-5642
Phone (678) 865-8449
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
1370 Buford Hwy
Ste 108
Cumming, GA 30041
Phone (770) 205-1669
29 Main St
Ste 130
Dawsonville, GA 30534
Phone (706) 344-1323
78 Dawson Village Way N
Ste 230
Dawsonville, GA 30534
Phone (678) 865-8449
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
Organizations & group practices 4
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.
-
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
GA, Physical Therapist
-
- Physical Therapy Clinic/Center
- Stockbridge, GA
- NPI 1366746331
-
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663027200000",
"number": "1023730587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6397 LEE HWY STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374214915",
"telephone_number": "423-238-8923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 DAWSON VILLAGE WAY N STE 230",
"city": "DAWSONVILLE",
"state": "GA",
"postal_code": "305345642",
"telephone_number": "706-265-3575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDER",
"first_name": "JOSHUA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-13",
"last_updated": "2022-09-13",
"certification_date": "2022-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT016191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dawsonville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.