Active NPI
Robert M Poole, PT
- Physical Therapist
- Stockbridge, GA
National Provider Identifier
1235228065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT002098
- Practice address
- 909 Eagles Landing Pkwy Ste 430
Stockbridge, GA 30281-6398 - Phone
- (770) 506-6993
- Fax
- (770) 506-6994
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- 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 | PT002098 | GA | Primary |
Addresses
Primary practice location
909 Eagles Landing Pkwy Ste 430
Stockbridge, GA 30281-6398
Mailing address
917 Eagles Landing Pkwy
Stockbridge, GA 30281-5011
Phone (770) 506-6993
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 |
|---|---|---|---|
| PT002098 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Human Performance and Rehabilitation Centers, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Medical and Health Resources
- Orthotist
- Columbus, GA
- NPI 1437223666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512345600000",
"number": "1235228065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 EAGLES LANDING PKWY",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815011",
"telephone_number": "770-506-6993",
"fax_number": "770-506-6994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 EAGLES LANDING PKWY STE 430",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302816398",
"telephone_number": "770-506-6993",
"fax_number": "770-506-6994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2017-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT002098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockbridge, GA
- Ana Maria Platon, MD
- Philip G. Ploska, MD
- Carlena Suzette Plunkett, FNP
- Chudamani Rao Polkampally, M.D.
- Brittany Ponder
- Mary V Poore, L.C.S.W
- Jake J Porter III, M.D., MPH
- Karen Anne Porter, P.T.
- Sandra Porter, LPC, NCC
- Positive Care Personal Care Home, Inc (Robert R. Williams Center for Veterans Rehabilitation & Aide)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.