Advanced Therapy Group Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

083575LGB Issued in GA

Legal business name

ADVANCED THERAPY GROUP INC.

Practice address

49 Bennett St NW
Ste D
Atlanta, GA 30309-5217

Phone

(404) 467-7780

Fax

(404) 842-0878

NPI assigned

Feb 5, 2007

Organization subpart

Yes

Parent organization

ADVANCED THERAPY GROUP INC.As reported in NPPES

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

Authorized official

Name

Ms. Martha V Carsom

Title

Ceo

Phone

(404) 261-0328

Specialties & licenses 1

Addresses

Other names 1

• Advanced Therapy Group Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Part of

Advanced Therapy Group Inc

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1164561288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 W PACES FERRY RD NW",
            "address_2": "STE 664",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272306",
            "telephone_number": "404-261-0328",
            "fax_number": "404-842-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 BENNETT ST NW",
            "address_2": "STE D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303095217",
            "telephone_number": "404-467-7780",
            "fax_number": "404-842-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED THERAPY GROUP INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED THERAPY GROUP INC.",
        "enumeration_date": "2007-02-05",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "CARSOM",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-261-0328",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "083575LGB",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Therapy Group Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapy Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.