Phaedra L Geathers, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008591 Issued in GA

Practice address

6849 Peachtree Dunwoody Rd NE
Ste 102, BLDG B1
Atlanta, GA 30328-1610

Phone

(678) 587-9922

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Phaedra Lavonya Geathers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073723409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 PANTHERS TRCE",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343863",
            "telephone_number": "404-308-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 PEACHTREE DUNWOODY RD NE",
            "address_2": "STE 102, BLDG B1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303281610",
            "telephone_number": "678-587-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEATHERS",
        "first_name": "PHAEDRA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHAEDRA",
            "last_name": "GEATHERS",
            "middle_name": "LAVONYA",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• GBR Psych Associates LLC
• Gdi Transportation, LLC.
• Anna Rebecca Gdovin, BSN, RN
• Gear Up for Wellness LLC
• Franklyn H Geary, MD
• Howard M Gebel, PHD
• Elana Gebhard-Koenigstein, NP-C
• Elaina Diane Gebhardt
• Melat Gebre, MD
• Samrawit Gebre, MD

• 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 Jul 8, 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.