Kelley Pierce, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA000743 Issued in GA

Practice address

5240 Snapfinger Park Dr Ste 130
Decatur, GA 30035-4054

Phone

(770) 322-7003

Fax

(770) 322-7630

NPI assigned

Jan 8, 2013

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Matrix Rehabilitation-Georgia Inc

  dba Physiotherapy Associates

  • Physical Therapy Clinic/Center
  • McDonough, GA
  • NPI 1659302966
  NPD (past)

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1285971481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 KENNETH LN",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300935133",
            "telephone_number": "470-248-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 SNAPFINGER PARK DR STE 130",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354054",
            "telephone_number": "770-322-7003",
            "fax_number": "770-322-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "KELLEY",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA000743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physio
• Physiotherapy Asssociates Inc (Physio-Decatur)
• Piedmont Minor Emergency Clinic 2 LLC
• Piedmont Minor Emergency Clinic PC
• Ashley Pier
• Kelly Pierce, LPC
• Mary Beth Pierce
• Timothy Pierce, PA-C
• Rebecca Pihera, APRN-BC
• Isabella Maria Pimentel

• Physical Therapy Assistant in Decatur, GA
• Providers in Decatur, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.