Organization Active NPI

Oncore PT, Inc

  • Physical Therapist
  • Roswell, GA
National Provider Identifier
1063766780
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ONCORE PT, INC
Practice address
1305 Hembree Rd
Suite 101
Roswell, GA 30076-3810
Phone
(770) 393-0111
Fax
(770) 393-0109
NPI assigned
Nov 2, 2012
Organization subpart
Yes
Parent organization
ONCORE PT, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Mrs. Sara Kilpatrick
Title
Manager
Phone
(770) 393-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1305 Hembree Rd
Suite 101
Roswell, GA 30076-3810

Mailing address

4505 Ashford Dunwoody Rd NE Ste 13
Atlanta, GA 30346-1516
Phone (770) 393-0111

National Provider Directory

National Provider Directory
Part of
Oncore PT Inc

Locations

4505 Ashford Dunwoody Rd NE
Ste 13
Atlanta, GA 30346
Phone (770) 393-0111

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1063766780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 ASHFORD DUNWOODY RD NE STE 13",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303461516",
            "telephone_number": "770-393-0111",
            "fax_number": "770-393-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 HEMBREE RD",
            "address_2": "SUITE 101",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763810",
            "telephone_number": "770-393-0111",
            "fax_number": "770-393-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONCORE PT, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONCORE PT, INC",
        "enumeration_date": "2012-11-02",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "KILPATRICK",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-393-0111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 13, 2013; 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.