Organization Active NPI

Able Pelvic Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Atlanta, GA
National Provider Identifier
1083151997
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT012069 Issued in GA
Legal business name
ABLE PELVIC PHYSICAL THERAPY LLC
Practice address
800 Mount Vernon Hwy NE
Suite 160
Atlanta, GA 30328-4295
Phone
(516) 996-3225
NPI assigned
Jan 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Dr. Adina LeiferNPI 1710131552
Title
President
Phone
(516) 996-3225

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT012069 GA Primary

Addresses

Primary practice location

800 Mount Vernon Hwy NE
Suite 160
Atlanta, GA 30328-4295

Mailing address

1402 Biltmore Dr NE
Atlanta, GA 30329-3534
Phone (516) 996-3225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170424001353 GA Part B Supplier - Clinic/Group Practice 0244516474 Receives reassigned benefits from 6 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1083151997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 BILTMORE DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293534",
            "telephone_number": "516-996-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MOUNT VERNON HWY NE",
            "address_2": "SUITE 160",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284295",
            "telephone_number": "516-996-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABLE PELVIC PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "LEIFER",
        "authorized_official_first_name": "ADINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-996-3225",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT012069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.