Individual provider Active NPI

Sidney Lamb Cambardella, PT, DPT

  • Physical Therapist
  • Athens, GA
National Provider Identifier
1235449612
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010133 Issued in GA
Practice address
1021 Parkway Blvd Ste 101
Athens, GA 30606-6189
Phone
(706) 352-2448
Fax
(706) 583-9142
NPI assigned
Oct 19, 2010
Last updated
Jan 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT010133 GA Primary
Orthopedic Physical Therapist 2251X0800X PT010133 GA

Addresses

Primary practice location

1021 Parkway Blvd Ste 101
Athens, GA 30606-6189

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

1000 Johnson Ferry Rd
Suite A-12
Marietta, GA 30068-2114
Phone (404) 367-2085

Other identifiers 1

IdentifierTypeStateIssuer
PT010133OtherGALICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110316000533 GA Practitioner - Physical Medicine and Rehabilitation 4284816901 Reassigns benefits to 4 organizations
Practice locations: Marietta, GA

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher E. Doerr, D.O., P.C.Group PAC ID 7517991482, 14 clinicians

Practice addresses (Care Compare)

195 Miles St
Athens, GA 30601-1820
Phone (706) 546-1333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Feb 1, 2017 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Feb 1, 2017 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Dec 24, 2020 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Dec 24, 2020 Accepting new patients
Functional Pathways Preferred of Tennessee LLC Physical Therapist CurrentSince Jul 15, 2020 Accepting new patients
High Performance Physical Therapy Centers Physical Therapist Past Accepting new patients

Locations

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

7423 Adairsville Hwy
Adairsville, GA 30103
Phone (770) 373-9315

1021 Parkway Blvd
Ste 101
Athens, GA 30606
Phone (706) 352-2448

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

3511 Braselton Hwy
Ste G2
Dacula, GA 30019
Phone (404) 367-2082

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

1000 Johnson Ferry Rd
Ste A12
Marietta, GA 30068
Phone (404) 367-2085

1180 Satellite Blvd NW
Ste 100
Suwanee, GA 30024
Phone (404) 367-2080

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2849

Interoperability endpoints

  • Direct secure messaging: athensphysicaltherapy.sidneycambardella@138508.advancedmd-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1235449612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 PARKWAY BLVD STE 101",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066189",
            "telephone_number": "706-352-2448",
            "fax_number": "706-583-9142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Johnson Ferry Rd",
            "address_2": "Suite A-12",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300682114",
            "country_code": "US",
            "telephone_number": "404-367-2085",
            "fax_number": "770-579-7069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMBARDELLA",
        "first_name": "SIDNEY",
        "middle_name": "LAMB",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010133",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT010133",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PT010133",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.