Alyson Kimbrell Repko, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011108 Issued in GA

Practice address

5690 State Bridge Rd
Johns Creek, GA 30022-6002

Phone

(678) 395-4202

Fax

(678) 395-4725

NPI assigned

Aug 19, 2014

Last updated

Sep 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Alyson Noel Kimbrell Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Emory University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Voice and Dysphagia Diagnostics, LLCGroup PAC ID 6901235803, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Coastal Voice & Dysphagia Diagnostics, LLC

  dba Coastal Plain Therapy & Wellness

  • Multi-Specialty Clinic/Center
  • Statesboro, GA
  • NPI 1194358150
  Medicare reassignment Care Compare group NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Suwanee, GA
  • NPI 1295412773
  Medicare reassignment
• Aegis Group Practice LLC

  • Occupational Therapist
  • Alpharetta, GA
  • NPI 1477904688

  Physical Therapist

  NPD
• Aegis Group Practice LLC

  • Occupational Therapist
  • Milton, GA
  • NPI 1881142750

  Physical Therapist

  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030
  NPD
• Ability Pro Therapy, LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1962950907
  NPD (past)

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1194124891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 STATE BRIDGE RD",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300226002",
            "telephone_number": "678-395-4202",
            "fax_number": "678-395-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 STATE BRIDGE RD",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300226002",
            "telephone_number": "678-395-4202",
            "fax_number": "678-395-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPKO",
        "first_name": "ALYSON",
        "middle_name": "KIMBRELL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSON",
            "last_name": "KIMBRELL",
            "middle_name": "NOEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diana Reeves
• Natalie Moore Reisman, M.D.
• James Ren, D.O
• Larry J Render
• Renew Health and Physical Medicine (Alexander Spine Center)
• Natalie Cindy Reto, M.D.
• Ingrid Vivian Reyes, M.D.
• John C Reyes, M.D.
• Mark Andrew Reyka, CRNA
• Steve Ricci, D.D.S., M.S.

• Physical Therapist in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.