Teresa Bristol, PT, CERT. DN, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007043 Issued in GA

Practice address

1100 Peachtree St NW NE
Suite 250
Atlanta, GA 30309

Phone

(470) 733-2135

Fax

(855) 703-9473

NPI assigned

Jan 26, 2006

Last updated

Sep 20, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• PT Works LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1700436987
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1053381400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W PEACHTREE ST NW",
            "address_2": "UNIT 1909",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303083536",
            "telephone_number": "470-733-2135",
            "fax_number": "855-703-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PEACHTREE ST NW NE",
            "address_2": "SUITE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30309",
            "telephone_number": "470-733-2135",
            "fax_number": "855-703-9473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 US Highway 41 NW",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "FL",
            "postal_code": "320525888",
            "country_code": "US",
            "telephone_number": "229-291-4275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRISTOL",
        "first_name": "TERESA",
        "credential": "PT, CERT. DN, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007043",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT007043",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "GA",
            "license": "PT007043",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT007043",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003190988A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "05207111",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "105338140-001",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4620664",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "teresa@ptworks4pain.com",
            "affiliation": "N",
            "address_1": "1100 Peachtree St NW NE",
            "address_2": "SUITE 250",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brendaria Radasha Brinson, DC
• Michael Briones, DO
• Brittany Briscoe
• Peter Anthony Briss, M.D.
• Bristol Hospice - Georgia LLC
• British American Properties (BrightStar Care of NW Atlanta & Sandy Springs)
• Esther D'Almeida Brito, M.D., M.P.H.
• Ayisha Khadedra Britt-Martin
• Ananya Kapur Britt, MD
• Chaketa Brittain, RN

• Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.