Active NPI
Spencer Baron, PT
- Physical Therapist
- Snellville, GA
National Provider Identifier
1043870074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3991 Highway 78 W Ste 200
Snellville, GA 30039-3929 - Phone
- (470) 482-6933
- Fax
- (470) 482-6940
- NPI assigned
- Jun 20, 2019
- Last updated
- Jun 20, 2019
- 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 | NU | Primary |
Addresses
Primary practice location
3991 Highway 78 W Ste 200
Snellville, GA 30039-3929
Mailing address
1100 Circle 75 Pkwy SE
Atlanta, GA 30339-3064
Phone (678) 403-3568
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT Solutions of Acworth 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Augusta, GA
- NPI 1518435189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560988800000",
"number": "1043870074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 CIRCLE 75 PKWY SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393064",
"telephone_number": "678-403-3568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3991 HIGHWAY 78 W STE 200",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300393929",
"telephone_number": "470-482-6933",
"fax_number": "470-482-6940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARON",
"first_name": "SPENCER",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-20",
"last_updated": "2019-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.