Individual provider Active NPI

Michael Britt Hubier, PT

  • Physical Therapist
  • Villa Rica, GA
National Provider Identifier
1275863532
Registry record updated Jan 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009801 Issued in GA
Practice address
2000 Mirror Lake Blvd
Suite S
Villa Rica, GA 30180-2124
Phone
(770) 456-7877
Fax
(770) 456-7880
NPI assigned
Jan 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2010

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 PT009801 GA Primary

Addresses

Primary practice location

2000 Mirror Lake Blvd
Suite S
Villa Rica, GA 30180-2124

Mailing address

2000 Mirror Lake Blvd
Suite S
Villa Rica, GA 30180-2124
Phone (770) 456-7877

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

LicenseStateTypeSpecialty
PT009801GAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1263081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263081600000",
    "number": "1275863532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MIRROR LAKE BLVD",
            "address_2": "SUITE S",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301802124",
            "telephone_number": "770-456-7877",
            "fax_number": "770-456-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MIRROR LAKE BLVD",
            "address_2": "SUITE S",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301802124",
            "telephone_number": "770-456-7877",
            "fax_number": "770-456-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBIER",
        "first_name": "MICHAEL",
        "middle_name": "BRITT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-10",
        "last_updated": "2010-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.