Active NPI
Patrick E King, DPT
- Physical Therapist
- Athens, GA
National Provider Identifier
1255670964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010874
- Practice address
- 723 Baxter St
Suite B
Athens, GA 30605-1109 - Phone
- (706) 355-3035
- Fax
- (706) 355-3039
- NPI assigned
- Feb 1, 2013
- 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 | PT010874 | GA | Primary |
Addresses
Primary practice location
723 Baxter St
Suite B
Athens, GA 30605-1109
Mailing address
723 Baxter St
Suite B
Athens, GA 30605-1109
Phone (706) 355-3025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT010874 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| East Athens Physical Therapy Inc | Past | Accepting new patients |
Locations
723 Baxter St
Athens, GA 30605
Phone (706) 355-3035
723 Baxter St
Ste B
Athens, GA 30605
Phone (706) 355-3035
966A Killian Hill Rd SW
Lilburn, GA 30047
Phone (770) 923-4815
Organizations & group practices 3
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
- Lilburn, GA
- NPI 1760568257
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
-
- Physical Therapy Clinic/Center
- Athens, GA
- NPI 1326082611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1255670964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 BAXTER ST",
"address_2": "SUITE B",
"city": "ATHENS",
"state": "GA",
"postal_code": "306051109",
"telephone_number": "706-355-3025",
"fax_number": "706-355-3039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 BAXTER ST",
"address_2": "SUITE B",
"city": "ATHENS",
"state": "GA",
"postal_code": "306051109",
"telephone_number": "706-355-3035",
"fax_number": "706-355-3039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "PATRICK",
"middle_name": "E",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-01",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.