Caitlin Forkin
Individual provider Active NPI Physical Therapist · Atlanta, GA
NPI 1295565307 · NPPES record last updated Aug 5, 2024
Key facts
- NPI
- 1295565307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT017242 (GA)
- Practice address
- 3001 Mercer University Drive
Davis BLDG, Suite 106
Atlanta, GA 30341 - Phone
- (678) 547-6439
- Fax
- (678) 547-6710
- NPI assigned
- Aug 5, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Corporation of Mercer University
Practice addresses (Care Compare)
3001 Mercer University Dr
Suite 106
Atlanta, GA 30341-4115
Phone (678) 547-6439
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250603000004 | GA | Practitioner - Physical Therapist in Private Practice | 4688183569 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Corporation of Mercer University | Current |
Accepting new patients | |
| The Corporation of Mercer University | Current | Accepting new patients | |
| Mercer Physical Therapy | Current |
Accepting new patients |
Locations
3001 Mercer University Dr
Ste 106
Atlanta, GA 30341
Phone (678) 547-6439
250 Mlk Blvd
Macon, GA 31201
Phone (478) 301-2362
1550 College St
Macon, GA 31207
Phone (478) 301-2600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT017242 | GA | Yes |
Addresses
Primary practice location
3001 Mercer University Drive
Davis BLDG, Suite 106
Atlanta, GA 30341
Mailing address
3001 Mercer University Drive
Davis BLDG, Suite 106
Atlanta, GA 30341
Phone (678) 547-6439
Other providers in Atlanta, GA
- Nakya Forestal
- Nikolas Philip Foresteire
- Forever First Personal Care Home
- Forever Young Trucking LLC
- Sara Ellen Forhan
- Anna Forman
- Ashley Erinn Forman
- Errol Forman
- Mervyn B. Forman
- Alfred Fornah
All providers in Atlanta, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.