Dylan Robert Rose, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2498 Washington Rd Ste a
Thomson, GA 30824-6600

Phone

(706) 391-6232

Fax

(706) 842-6751

NPI assigned

Nov 25, 2019

Last updated

Nov 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgialina Physical Therapy Associates LLCGroup PAC ID 6002812401, 406 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dylan.rose.p12@direct.athleticoltd.nextgenshare.com

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.

• Georgialina Physical Therapy Associates LLC

  dba Athletico Physical Therapy

  • Physical Therapist
  • Augusta, GA
  • NPI 1679286934
  Medicare reassignment Care Compare group NPD
• Georgialina Physical Therapy Associates LLC

  dba Athletico Physical Therapy

  • Physical Therapy Clinic/Center
  • North Augusta, SC
  • NPI 1427164714

  Physical Therapist

  NPD
• Augusta Pain Consultants, PC

  dba Augusta Pain Center

  • Interventional Pain Medicine Physician
  • Augusta, GA
  • NPI 1609098292
  NPD (past)

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1285270314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5545",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309165545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2498 WASHINGTON RD STE A",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308246600",
            "telephone_number": "706-391-6232",
            "fax_number": "706-842-6751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Addison Sq Ste 2",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308095527",
            "country_code": "US",
            "telephone_number": "706-309-0016",
            "fax_number": "706-309-0024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Addison Sq Ste 2",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308095527",
            "country_code": "US",
            "telephone_number": "706-309-0016",
            "fax_number": "706-309-0024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Addison Sq Ste 2",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308095527",
            "country_code": "US",
            "telephone_number": "706-309-0016",
            "fax_number": "706-309-0024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Addison Sq Ste 2",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308095527",
            "country_code": "US",
            "telephone_number": "706-309-0016",
            "fax_number": "706-309-0024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Addison Sq Ste 2",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308095527",
            "country_code": "US",
            "telephone_number": "706-309-0016",
            "fax_number": "706-309-0024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Addison Sq Ste 2",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308095527",
            "country_code": "US",
            "telephone_number": "706-309-0016",
            "fax_number": "706-309-0024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Addison Sq Ste 2",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308095527",
            "country_code": "US",
            "telephone_number": "706-309-0016",
            "fax_number": "706-309-0024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2803 Wrightsboro Rd Ste 50",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309093917",
            "country_code": "US",
            "telephone_number": "706-993-2272",
            "fax_number": "706-410-1282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2556 Tobacco Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Hephzibah",
            "state": "GA",
            "postal_code": "308159016",
            "country_code": "US",
            "telephone_number": "706-309-0036",
            "fax_number": "706-842-3017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1321 Interstate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309095626",
            "country_code": "US",
            "telephone_number": "706-945-0810",
            "fax_number": "706-945-0821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4039 Gateway Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308133195",
            "country_code": "US",
            "telephone_number": "706-210-9534",
            "fax_number": "706-210-9536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Furys Ferry Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Martinez",
            "state": "GA",
            "postal_code": "309077901",
            "country_code": "US",
            "telephone_number": "706-210-9380",
            "fax_number": "706-650-1896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1241 Friendship Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305175609",
            "country_code": "US",
            "telephone_number": "770-415-9792",
            "fax_number": "770-882-0268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3206 Peach Orchard Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309063540",
            "country_code": "US",
            "telephone_number": "706-798-9323",
            "fax_number": "706-772-8873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Addison Sq Ste 2",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308095527",
            "country_code": "US",
            "telephone_number": "706-309-0016",
            "fax_number": "706-309-0024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "DYLAN",
        "middle_name": "ROBERT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Tonya Rawls, RRT
• Regional Open MRI, LLC
• Keilondria Robertson, MPH, LMSW
• Rocky Mountain Holdings, LLC (Air Life Georgia)
• Thomas Ray Rodgers, FNP-BC
• Paul Spencer Ruble, D.O.
• Jesse Lynn Ryan, CRNA
• Andrea Samaha
• Carolyn Louise Samuels
• Wanda Sanders, LPC

• Physical Therapist in Thomson, GA
• Providers in Thomson, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.