Individual provider Active NPI

Lynn M. Marchisen, PT

  • Orthopedic Physical Therapist
  • Atlanta, GA
National Provider Identifier
1124084108
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT006169 Issued in GA
Practice address
550 Peachtree Street
19TH Floor
Atlanta, GA 30308
Phone
(404) 215-2050
Fax
(404) 215-2051
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT006169 GA Primary

Addresses

Primary practice location

550 Peachtree Street
19TH Floor
Atlanta, GA 30308

Mailing address

550 Peachtree Street
19TH Floor
Atlanta, GA 30308
Phone (404) 215-2050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200812002859 GA Practitioner - Physical Therapist in Private Practice 1456777101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Physical Therapy, LLCGroup PAC ID 1153382676, 96 clinicians

Practice addresses (Care Compare)

1459 Montreal Rd
Suite 304
Tucker, GA 30084-6920
Phone (404) 251-3420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT006169GAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Physical Therapy, LLC Current Accepting new patients
Foundation Therapy Center - North Atlanta, LLC CurrentSince Jul 2, 2020 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Oct 31, 2022 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Oct 31, 2022 Accepting new patients
Foundation Therapy Center-Alpharetta, LLC PastSince Jul 2, 2020 Accepting new patients

Locations

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

1845 Satellite Blvd
Ste 600
Duluth, GA 30097
Phone (404) 778-6490

6160 Peachtree Dunwoody Rd
Ste B90
Sandy Springs, GA 30328
Phone (770) 673-0093

1459 Montreal Rd
Ste 304
Tucker, GA 30084
Phone (404) 251-3420

1459 Montreal Rd
Tucker, GA 30084
Phone (404) 251-3420

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1124084108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE STREET",
            "address_2": "19TH FLOOR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30308",
            "telephone_number": "404-215-2050",
            "fax_number": "404-215-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE STREET",
            "address_2": "19TH FLOOR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30308",
            "telephone_number": "404-215-2050",
            "fax_number": "404-215-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHISEN",
        "first_name": "LYNN",
        "middle_name": "M.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT006169",
            "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 Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.