Active NPI
Michael David Tabasko, MSPT
- Physical Therapist
- Atlanta, GA
National Provider Identifier
1043366321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P19867
- Practice address
- PO Box 932184
Atlanta, GA 31193-3038 - Phone
- (806) 771-7661
- Fax
- (806) 771-7661
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | P19867 | NC | Primary |
Addresses
Primary practice location
PO Box 932184
Atlanta, GA 31193-3038
Mailing address
2819 3Rd St
Boulder, CO 80304-3038
Phone (818) 795-6140
Other practice location 1
2819 3rd St
Boulder, CO 80304-3038
Phone (818) 795-6140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
660 Merrimon Ave
Suite C
Asheville, NC 28804-3567
Phone (828) 348-1780
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physio, Inc. | Physical Therapist | Current | Accepting new patients |
| Physio, Inc. | Past | Accepting new patients |
Locations
660 Merrimon Ave
Ste C
Asheville, NC 28804
Phone (800) 922-9280
Organizations & group practices 2
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 Therapy Clinic/Center
- Asheville, NC
- NPI 1326979881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750982400000",
"number": "1043366321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2819 3RD ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043038",
"telephone_number": "818-795-6140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 932184",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311933038",
"telephone_number": "806-771-7661",
"fax_number": "806-771-7661"
}
],
"practiceLocations": [
{
"address_1": "2819 3rd St",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803043038",
"country_code": "US",
"telephone_number": "818-795-6140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TABASKO",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2025-06-27",
"certification_date": "2025-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P19867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; 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.