Individual provider Active NPI

Maggie P Muschara, MS,PT

  • Physical Therapist
  • Cumming, GA
National Provider Identifier
1104948603
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008111 Issued in GA
Practice address
4690 Stonehaven VW
Cumming, GA 30040-0550
Phone
(404) 771-3523
Fax
(678) 261-1886
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008111 GA Primary

Addresses

Primary practice location

4690 Stonehaven VW
Cumming, GA 30040-0550

Mailing address

4690 Stonehaven VW
Cumming, GA 30040-0550
Phone (404) 771-3523

Other identifiers 1

IdentifierTypeStateIssuer
584558185AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT008111GAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1104948603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 STONEHAVEN VW",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300400550",
            "telephone_number": "404-771-3523",
            "fax_number": "678-261-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 STONEHAVEN VW",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300400550",
            "telephone_number": "404-771-3523",
            "fax_number": "678-261-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSCHARA",
        "first_name": "MAGGIE",
        "middle_name": "P",
        "credential": "MS,PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "584558185A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.