Active NPI
PT Solutions of Acworth LLC
- Physical Therapist
- Conyers, GA
National Provider Identifier
1093379893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PT SOLUTIONS OF ACWORTH LLC
- Practice address
- 1380 Milstead Ave NE Ste C
Conyers, GA 30012-3864 - Phone
- (470) 474-1490
- NPI assigned
- Apr 26, 2019
- Last updated
- Apr 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carmen Philpot
- Title
- Revenue Cycle Director
- Phone
- (678) 403-3568
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
1380 Milstead Ave NE Ste C
Conyers, GA 30012-3864
Mailing address
1100 Circle 75 Pkwy SE Ste 1400
Atlanta, GA 30339-3067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040629000794 | GA | Part B Supplier - Clinic/Group Practice | 0042291817 |
Receives reassigned benefits from 14 practitioners 33 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hahira, GA; Watkinsville, GA; Villa Rica, GA; Valdosta, GA; Tyrone, GA; Norcross, GA; Evans, GA; Decatur, GA… |
Other NPIs on the same Medicare enrollment 33
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556236800000",
"number": "1093379893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 CIRCLE 75 PKWY SE STE 1400",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 MILSTEAD AVE NE STE C",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123864",
"telephone_number": "470-474-1490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PT SOLUTIONS OF ACWORTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-26",
"last_updated": "2019-04-26",
"status": "A",
"authorized_official_last_name": "PHILPOT",
"authorized_official_first_name": "CARMEN",
"authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
"authorized_official_telephone_number": "678-403-3568"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conyers, GA
- Professional Dental Alliance of Conyers, LLC
- Promised Solutions Homecare
- Prostheic Solutions Inc.
- Prosthetic Care, LLC (ProCare Prosthetics and Orthotics)
- Rhonda Louisa Pruitt, PHARM.D.
- Public Health Resource Centers, LLC
- Publix Super Markets Inc (Publix Pharmacy #1118)
- Publix Super Markets Inc (Publix Pharmacy #1071)
- Publix Super Markets Inc (Publix Pharmacy #1411)
- Britney Pulliam, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.