Active NPI
Deisy Nunez Aguirre, PT, DPT
- Physical Therapist
- Alpharetta, GA
National Provider Identifier
1235848342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016355
- Practice address
- 3330 Preston Ridge Rd
Alpharetta, GA 30005-4508 - Phone
- (770) 740-1860
- NPI assigned
- Nov 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | PT016355 | GA | Primary |
Addresses
Primary practice location
3330 Preston Ridge Rd
Alpharetta, GA 30005-4508
Mailing address
5805 Sugarloaf Pkwy Unit 4212
Lawrenceville, GA 30043-6581
Phone (770) 298-9088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
875 Mansell Rd
Suite H
Roswell, GA 30076-4800
Phone (678) 821-2170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Rehabilitation Group Inc | Current | Accepting new patients |
Locations
4941 S Old Peachtree Rd
Ste D
Peachtree Corners, GA 30092
Phone (678) 335-2080
875 Mansell Rd
Ste H
Roswell, GA 30076
Phone (678) 821-2170
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.
-
- Physical Therapy Clinic/Center
- Roswell, GA
- NPI 1437855830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1235848342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5805 SUGARLOAF PKWY UNIT 4212",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300436581",
"telephone_number": "770-298-9088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 PRESTON RIDGE RD",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054508",
"telephone_number": "770-740-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEZ AGUIRRE",
"first_name": "DEISY",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-17",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT016355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.