NPIMap

Organization Active NPI

Meadows Hand and Physical Therapy Clinic

Doing business as Meadows Physical Therapy and Hand Clinic

  • Hand Physical Therapist
  • Johns Creek, GA
National Provider Identifier
1063620037
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Physical TherapistTaxonomy code 2251H1200X
License
PT004486 Issued in GA
Legal business name
MEADOWS HAND AND PHYSICAL THERAPY CLINIC
Doing business as
Meadows Physical Therapy and Hand Clinic
Practice address
9700 Medlock Bridge Rd Ste 150
Johns Creek, GA 30097-4409
Phone
(770) 623-0105
Fax
(678) 377-1737
NPI assigned
May 21, 2007
Last updated
Sep 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Authorized official

Name
Mrs. Manisha Kapasi, PHD, PT, CHTNPI 1639289408
Title
Owner
Phone
(770) 623-0105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT004486 GA
Physical Therapist 225100000X PT007815 GA
Hand Physical Therapist 2251H1200X PT004486 GA Primary

Addresses

Primary practice location

9700 Medlock Bridge Rd Ste 150
Johns Creek, GA 30097-4409

Mailing address

9700 Medlock Bridge Rd Ste 150
Johns Creek, GA 30097-4409
Phone (770) 623-0105

Other names 1

  • Meadows Physical Therapy and Hand Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040525000758 GA Part B Supplier - Clinic/Group Practice 4981685187 Receives reassigned benefits from 4 practitioners
Practice locations: Johns Creek, GA; Lawrenceville, GA
O20100930046966 GA DME Supplier - Independently-Practicing Physical Therapist 4981685187 Practice locations: Duluth, GA

National Provider Directory

National Provider Directory

Locations

10700 Medlock Bridge Rd
Ste 105
Johns Creek, GA 30097
Phone (770) 623-0105

1430 Five Forks Trickum Rd
Lawrenceville, GA 30044

1430 Five Forks Trickum Rd
Ste 210
Lawrenceville, GA 30044
Phone (678) 377-1738

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662940800000",
    "number": "1063620037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 MEDLOCK BRIDGE RD STE 150",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974409",
            "telephone_number": "770-623-0105",
            "fax_number": "678-377-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 MEDLOCK BRIDGE RD STE 150",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974409",
            "telephone_number": "770-623-0105",
            "fax_number": "678-377-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWS HAND AND PHYSICAL THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "KAPASI",
        "authorized_official_first_name": "MANISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-623-0105",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD, PT, CHT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT004486",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007815",
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "GA",
            "license": "PT004486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadows Physical Therapy and Hand Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Meadows Physical Therapy and Hand Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.