Individual provider Active NPI

Michael Robert Golden, PT, DPT

  • Physical Therapist
  • Roswell, GA
National Provider Identifier
1225675002
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014352 Issued in GA
Practice address
11490 Alpharetta Hwy Ste 200
Roswell, GA 30076-3866
Phone
(770) 740-8592
NPI assigned
Nov 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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 PT014352 GA Primary

Addresses

Primary practice location

11490 Alpharetta Hwy Ste 200
Roswell, GA 30076-3866

Mailing address

6397 Lee Hwy
Chattanooga, TN 37421-2564
Phone (423) 238-3473

Other practice location 1

1155 Concord Rd SE Ste 210
Smyrna, GA 30080-4234
Phone (678) 293-0250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210702002699 GA Practitioner - Physical Therapist in Private Practice 8022410612 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

10800 Alpharetta Hwy
Suite 176
Roswell, GA 30076-1463
Phone (678) 681-1060

123 Battlefield Crossing CT
Ringgold, GA 30736-5176
Phone (706) 861-8775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT014352GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Dec 12, 2021 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Dec 12, 2021 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Dec 12, 2021 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Dec 12, 2021 Accepting new patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince Dec 12, 2021 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jun 7, 2021 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jun 7, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

12850 Highway 9 N
Ste 1050
Alpharetta, GA 30004
Phone (678) 332-5800

2900 Peachtree Rd NW
Ste 208
Atlanta, GA 30305
Phone (678) 365-3588

1375 Peachtree St NE
Ste A12
Atlanta, GA 30309
Phone (470) 875-6677

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1441 Dresden Dr NE
Ste 290
Brookhaven, GA 30319
Phone (470) 575-4333

11720 Medlock Bridge Rd
Ste 550
Johns Creek, GA 30097
Phone (678) 364-7195

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

860 Duluth Hwy
Ste 140
Lawrenceville, GA 30043
Phone (470) 410-1444

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

400 Tower Rd NE
Ste 140
Marietta, GA 30060
Phone (770) 419-9437

3460 Sandy Plains Rd
Unit 610
Marietta, GA 30066
Phone (678) 631-5878

5450 Peachtree Pkwy
Ste 1F
Peachtree Corners, GA 30092
Phone (678) 823-6100

155 Medical Way
Ste A
Riverdale, GA 30274
Phone (770) 991-2747

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

10800 Alpharetta Hwy
Ste 176
Roswell, GA 30076
Phone (678) 364-7195

6635 Roswell Rd
Sandy Springs, GA 30328
Phone (678) 332-2030

1155 Concord Rd SE
Ste 210
Smyrna, GA 30080
Phone (678) 293-0250

1498 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 289-0525

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

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.

NPI Registry JSON

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

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1225675002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11490 ALPHARETTA HWY STE 200",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763866",
            "telephone_number": "770-740-8592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Concord Rd SE Ste 210",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300804234",
            "country_code": "US",
            "telephone_number": "678-293-0250",
            "fax_number": "678-681-9067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.

Verify at the official NPI Registry.