Active NPI
Priti Roopam Master, DPT
- Physical Therapist
- Marietta, GA
National Provider Identifier
1144411893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009176
- Practice address
- 1431 White Cir Ste C
Marietta, GA 30066-5801 - Phone
- (770) 426-9945
- Fax
- (770) 426-0641
- NPI assigned
- Aug 7, 2007
- Last updated
- Apr 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT009176 | GA | Primary |
Addresses
Primary practice location
1431 White Cir Ste C
Marietta, GA 30066-5801
Mailing address
1431 White Cir Ste C
Marietta, GA 30066-5801
Phone (770) 426-9945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concentra Primary Care PA | Past | Accepting new patients | |
| Physiotherapy Associates Inc | Past | Accepting new patients |
Interoperability endpoints
- priti.master.1@15749.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Concentra Primary Care
- Primary Care Clinic/Center
- Addison, TX
- NPI 1154602845
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1144411893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 WHITE CIR STE C",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300665801",
"telephone_number": "770-426-9945",
"fax_number": "770-426-0641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1431 WHITE CIR STE C",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300665801",
"telephone_number": "770-426-9945",
"fax_number": "770-426-0641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTER",
"first_name": "PRITI",
"middle_name": "ROOPAM",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-07",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT009176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.