NPIMap

Organization Active NPI

Physical Therapy 360 Degrees

Doing business as PT 360

  • Orthopedic Physical Therapist
  • Sandy Springs, GA
National Provider Identifier
1154795110
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
006388 Issued in GA
Legal business name
PHYSICAL THERAPY 360 DEGREES
Doing business as
PT 360
Practice address
800 Mount Vernon Hwy NE Ste 325
Sandy Springs, GA 30328
Phone
(770) 225-8860
Fax
(844) 965-9428
NPI assigned
Nov 13, 2015
Last updated
Nov 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Authorized official

Name
David Mesnick, PTNPI 1972631919
Title
Physical Therapist, Owner
Phone
(770) 225-8860

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
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X 006388 GA Primary

Addresses

Primary practice location

800 Mount Vernon Hwy NE Ste 325
Sandy Springs, GA 30328

Mailing address

3747 Ashford PT NE
Brookhaven, GA 30319-2114
Phone (404) 202-9787

Other practice location 1

5400 Laurel Springs Pkwy
Bldg. 1400, suite 1401
Suwanee, GA 30024-6056
Phone (770) 225-8860

Other practice location 2

5400 Laurel Springs Pkwy
Bldg. 1400, suite 1401
Suwanee, GA 30024-6056
Phone (770) 225-8860

Other names 1

  • PT 360 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151229000350 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6305147836 Receives reassigned benefits from 6 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

3565 Piedmont Rd NE
Ste 310
Atlanta, GA 30305
Phone (404) 352-8900

800 Mount Vernon Hwy NE
Ste 140
Sandy Springs, GA 30328
Phone (678) 430-8107

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1154795110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 ASHFORD PT NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192114",
            "telephone_number": "404-202-9787",
            "fax_number": "844-965-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MOUNT VERNON HWY NE STE 325",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "770-225-8860",
            "fax_number": "844-965-9428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 Laurel Springs Pkwy",
            "address_2": "Bldg. 1400, suite 1401",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300246056",
            "country_code": "US",
            "telephone_number": "770-225-8860",
            "fax_number": "844-965-9428",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5400 Laurel Springs Pkwy",
            "address_2": "Bldg. 1400, suite 1401",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300246056",
            "country_code": "US",
            "telephone_number": "770-225-8860",
            "fax_number": "844-965-9428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICAL THERAPY 360 DEGREES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "MESNICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "770-225-8860",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "006388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PT 360",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PT 360",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.

Verify at the official NPI Registry.