Laura Baeumel, DPT, ATC – Physical Therapist

Key facts

NPI: 1194126623
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: PT010361 (GA)
Practice address: 3365 Piedmont Rd NE
Suite 1260
Atlanta, GA 30305-1794
Phone: (404) 504-9030
Fax: (404) 504-9745
NPI assigned: Sep 16, 2014
Sex: Male
Sole proprietor: No

Organizations & group practices 1

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.

Neurosport Physical Therapy & Rehabilitation Specialist Inc. Physical Therapist · Marietta, GA · NPI 1376546341

NPD (past) PHYSICAL THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
PT010361	GA	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Neurosport Physical Therapy & Rehabilitation Specialist Inc.	Physical Therapist	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	PT010361	GA	Yes

Addresses

Primary practice location

3365 Piedmont Rd NE
Suite 1260
Atlanta, GA 30305-1794

Mailing address

1163 Johnson Ferry Rd
Suite 100
Marietta, GA 30068-2764
Phone (770) 321-0155

Other providers in Atlanta, GA

All providers in Atlanta, GA · Physical Therapist in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.