Individual provider Active NPI

Brian C Healy, DC, PT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1215992136
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.017753 Issued in IL
Practice address
60 11TH St NE Ste 4
Atlanta, GA 30309-4346
Phone
(404) 367-2095
Fax
(404) 367-2095
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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.

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.011704ILMDChiropractor
070.017753ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Venture Physical Therapy of Marietta LLC Physical Therapist CurrentSince Aug 30, 2022 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
Life University, Inc Chiropractor CurrentSince Jul 12, 2023 Accepting new patients
Life University Inc Chiropractor CurrentSince Jul 12, 2023 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
Accelerated Rehabilitation Centers LTD Physical Therapist Past Accepting new patients

Locations

60 11th St NE
Ste 4
Atlanta, GA 30309
Phone (224) 432-5276

335 Roselane St NW
Ste 201
Marietta, GA 30060
Phone (470) 259-5226

1415 Barclay Cir SE
Marietta, GA 30060
Phone (770) 426-2786

335 Roselane St NW
Ste 200
Marietta, GA 30060
Phone (770) 424-6787

1000 Johnson Ferry Rd
Ste A115
Marietta, GA 30068
Phone (404) 367-2085

Interoperability endpoints

  • Direct secure messaging: brian.healy.p1@direct.life.nextgenshare.com

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.017753 IL Primary
Chiropractor 111N00000X 038.011704 IL
Physical Therapist 225100000X PT015108 GA

Addresses

NPPES NPI Registry

Primary practice location

60 11TH St NE Ste 4
Atlanta, GA 30309-4346

Mailing address

PO Box 949
Rome, GA 30162-0949
Phone (404) 367-2095

Other practice location 1

2420 Ravine Way Ste 300
Glenview, IL 60025-7646
Phone (847) 813-6318

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 10, 2021.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1215992136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 949",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620949",
            "telephone_number": "404-367-2095",
            "fax_number": "404-817-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 11TH ST NE STE 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094346",
            "telephone_number": "404-367-2095",
            "fax_number": "404-367-2095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2420 Ravine Way Ste 300",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600257646",
            "country_code": "US",
            "telephone_number": "847-813-6318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEALY",
        "first_name": "BRIAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.017753",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011704",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.