Active NPI
Deanna Brubaker, PT
- Physical Therapist
- Loganville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008761
- Practice address
- 150 Athens Hwy
Loganville, GA 30052-2277 - Phone
- (770) 554-2307
- NPI assigned
- Nov 13, 2006
- 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 | PT008761 | GA | Primary |
Addresses
Primary practice location
150 Athens Hwy
Loganville, GA 30052-2277
Mailing address
PO Box 518
Jonesboro, GA 30237-0518
Phone (770) 631-8277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT008761 | Other | GA | STATE LISC NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
1641 Virgil Langford Rd
Watkinsville, GA 30677-7293
Phone (706) 534-1400
255 Vaughn Dr
Alpharetta, GA 30009-2415
Phone (770) 521-9707
2881 Monroe Hwy
Suite 501
Bogart, GA 30622-8529
Phone (706) 534-1400
562 Research Dr
Athens, GA 30605-2730
Phone (404) 351-5307
901 Haymon Morris Rd
Winder, GA 30680-7837
Phone (678) 705-2123
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Integrated Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Physiotherapy Associates | Physical Therapist | Past | Accepting new patients |
| Physiotherapy Associates Inc | Past | Accepting new patients | |
| Life Clinic of Ga PC | Physical Therapist | Past | Accepting new patients |
Locations
855 North Point Pkwy
Alpharetta, GA 30005
Phone (952) 401-2336
915 Hawthorne Ave
Athens, GA 30606
562 Research Dr
Athens, GA 30605
2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309
3333 E Cherokee Dr
Canton, GA 30115
Phone (470) 714-6698
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Organizations & group practices 7
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.
-
- Physical Therapist
- Atlanta, GA
- NPI 1326247248
-
- Physical Therapist
- Dawsonville, GA
- NPI 1528419751
-
- Physical Therapist
- Winder, GA
- NPI 1831619337
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
-
- Physical Therapist
- Lithia Springs, GA
- NPI 1306905765
-
- Physical Therapy Clinic/Center
- Loganville, GA
- NPI 1427134816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194896076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 518",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302370518",
"telephone_number": "770-631-8277",
"fax_number": "770-631-9403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 ATHENS HWY",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300522277",
"telephone_number": "770-554-2307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUBAKER",
"first_name": "DEANNA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008761",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISC NUMBER",
"identifier": "PT008761",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Loganville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.