Active NPI
Brian C Healy, DC, PT
- Physical Therapist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.017753
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Jasper, GA
- NPI 1164115671
Physical Therapist
-
- Physical Therapist
- Saint Marys, GA
- NPI 1235434283
-
- Physical Therapist
- Marietta, GA
- NPI 1346747706
-
- Chiropractor
- San Juan, PR
- NPI 1508580978
-
- Physical Therapist
- Westmont, IL
- NPI 1205875713
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038.011704 | IL | MD | Chiropractor |
| 070.017753 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Venture Physical Therapy of Marietta LLC | Physical Therapist | Current | Accepting new patients |
| Advance Rehabilitation & Consulting Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Life University, Inc | Chiropractor | Current | Accepting new patients |
| Life University Inc | Chiropractor | Current | Accepting new patients |
| Advance Rehabilitation & Consulting Limited Partnership | Physical Therapist | Current | 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
- brian.healy.p1@direct.life.nextgenshare.com
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.017753 | IL | Primary |
| Chiropractor | 111N00000X | 038.011704 | IL | |
| Physical Therapist | 225100000X | PT015108 | GA |
Addresses
NPPES NPI RegistryPrimary 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.