Active NPI
Elisha Fried, DPT
- Physical Therapist
- Alpharetta, GA
National Provider Identifier
1033729298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014631
- Practice address
- 2850 Holcomb Bridge Rd Ste 140a
Alpharetta, GA 30022-1658 - NPI assigned
- Aug 3, 2020
- Sex
- Female
- 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 | PT014631 | GA | Primary |
Addresses
Primary practice location
2850 Holcomb Bridge Rd Ste 140a
Alpharetta, GA 30022-1658
Mailing address
1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-8907
Other practice location 1
5815 Windward Pkwy Ste 208
Alpharetta, GA 30005-4202
Other practice location 2
5815 Windward Pkwy Ste 208
Alpharetta, GA 30005-4202
Other practice location 3
5815 Windward Parkway
Suite 208
Alpharetta, GA 30005-4202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT014631 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| On Point MVP LLC | Physical Therapist | Past | Accepting new patients |
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": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1033729298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-8907",
"fax_number": "423-954-7408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 HOLCOMB BRIDGE RD STE 140A",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300221658"
}
],
"practiceLocations": [
{
"address_1": "5815 Windward Pkwy Ste 208",
"address_purpose": "LOCATION",
"city": "Alpharetta",
"state": "GA",
"postal_code": "300054202",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5815 Windward Pkwy Ste 208",
"address_purpose": "LOCATION",
"city": "Alpharetta",
"state": "GA",
"postal_code": "300054202",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5815 Windward Parkway",
"address_2": "Suite 208",
"address_purpose": "LOCATION",
"city": "Alpharetta",
"state": "GA",
"postal_code": "300054202",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRIED",
"first_name": "ELISHA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.