Individual provider Active NPI

Elizabeth Macarthur, BS PT , CIMI

  • Physical Therapist
  • Roswell, GA
National Provider Identifier
1053481325
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004730 Issued in GA
Practice address
1000 Holcomb Woods Pkwy
Ste 426
Roswell, GA 30076-2575
Phone
(770) 851-9553
Fax
(770) 698-4178
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT004730 GA Primary

Addresses

Primary practice location

1000 Holcomb Woods Pkwy
Ste 426
Roswell, GA 30076-2575

Mailing address

500 Pine Forest Rd NE
Atlanta, GA 30342-2764
Phone (404) 784-7083

Other identifiers 1

IdentifierTypeStateIssuer
121002OtherBCBS PIN

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
PT004730GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Childrens Therapy Center 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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053481325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PINE FOREST RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422764",
            "telephone_number": "404-784-7083",
            "fax_number": "404-531-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HOLCOMB WOODS PKWY",
            "address_2": "STE 426",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300762575",
            "telephone_number": "770-851-9553",
            "fax_number": "770-698-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACARTHUR",
        "first_name": "ELIZABETH",
        "credential": "BS PT , CIMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT004730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "121002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.