Individual provider Active NPI

Marc L. Herscher, PT

  • Physical Therapist
  • Decatur, GA
National Provider Identifier
1205902822
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007547 Issued in GA
Practice address
2799 Lawrenceville Hwy
205
Decatur, GA 30033-2531
Phone
(770) 491-0920
Fax
(770) 491-0906
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT007547 GA Primary

Addresses

Primary practice location

2799 Lawrenceville Hwy
205
Decatur, GA 30033-2531

Mailing address

2799 Lawrenceville Hwy
205
Decatur, GA 30033-2531
Phone (770) 491-0920

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180628000885 GA Practitioner - Physical Therapist in Private Practice 0042566325 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT007547GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Rehabilitation-Georgia Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1205902822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 LAWRENCEVILLE HWY",
            "address_2": "205",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332531",
            "telephone_number": "770-491-0920",
            "fax_number": "770-491-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 LAWRENCEVILLE HWY",
            "address_2": "205",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300332531",
            "telephone_number": "770-491-0920",
            "fax_number": "770-491-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSCHER",
        "first_name": "MARC",
        "middle_name": "L.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.