Individual provider Active NPI

Aagnya Pathak

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1245485531
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007041 Issued in GA
Practice address
6849 Peachtree Dunwoody Rd NE
Suite 102 Buildig B1
Atlanta, GA 30328-1610
Phone
(866) 587-9922
Fax
(678) 587-9993
NPI assigned
Dec 1, 2008
Last updated
Dec 1, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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 PT007041 GA Primary

Addresses

Primary practice location

6849 Peachtree Dunwoody Rd NE
Suite 102 Buildig B1
Atlanta, GA 30328-1610

Mailing address

6849 Peachtree Dunwoody Rd NE
Suite 102 Buildig B1
Atlanta, GA 30328-1610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623000378 GA Practitioner - Physical Therapist in Private Practice 4183656812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primacare Rehabilitation P.C.Group PAC ID 2961591474, 11 clinicians

Practice addresses (Care Compare)

2576 Lawrenceville Suwanee Rd
Suite 101
Suwanee, GA 30024-7291
Phone (770) 962-4043

3905 Johns Creek CT
Suite 250
Suwanee, GA 30024-1226
Phone (770) 814-2986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primacare Rehabilitation P.C. Physical Therapist CurrentSince Mar 19, 2010 Accepting new patients

Locations

4195 S Lee St
Ste B
Buford, GA 30518
Phone (770) 932-3033

455 Grayson Hwy
Ste 110
Lawrenceville, GA 30046
Phone (470) 282-1489

2576 Lawrenceville Suwanee Rd
Ste 101
Suwanee, GA 30024
Phone (770) 962-4043

3905 Johns Creek Ct
Ste 250
Suwanee, GA 30024
Phone (770) 888-5221

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, 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": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1245485531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6849 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 102 BUILDIG B1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303281610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 102 BUILDIG B1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303281610",
            "telephone_number": "866-587-9922",
            "fax_number": "678-587-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "AAGNYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007041",
            "primary": true
        }
    ],
    "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 Dec 1, 2008; 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.