Active NPI
Frank Ko, PT
- Physical Therapy Clinic/Center
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- PT0007597
- Practice address
- 57 Executive Park S Ste 190
Atlanta, GA 30329-2248 - Phone
- (404) 778-6390
- Fax
- (404) 778-6340
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Clinic/Center | 261QP2000X | PT0007597 | GA | Primary |
Addresses
Primary practice location
57 Executive Park S Ste 190
Atlanta, GA 30329-2248
Mailing address
8259 Wicker Ave
Saint John, IN 46373-8878
Phone (219) 365-6560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1845 Satellite Blvd
Suite 750
Duluth, GA 30097-4005
Phone (404) 778-6490
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0007597 | GA | MD | Physical Therapy Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Physical Therapy, LLC | Physical Therapy | Current | Accepting new patients |
| Emory Physical Therapy, LLC | Physical Therapy | Current | Accepting new patients |
| Emory Physical Therapy, LLC | Physical Therapy | Past | Accepting new patients |
| Medical & Sports Rehabilitation Assoc. Inc | Physical Therapy | Past | Accepting new patients |
| Emory Physical Therapy, LLC | Physical Therapy | Past | Accepting new patients |
Locations
21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516
57 Executive Park South NE
Ste 190
Atlanta, GA 30329
Phone (404) 778-6390
1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490
8259 Wicker Ave
Saint John, IN 46373
Phone (219) 365-6560
Organizations & group practices 5
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.
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- NPI 1720097561
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- Physical Therapy Clinic/Center
- Duluth, GA
- NPI 1831108695
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- Physical Therapy Clinic/Center
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233705600000",
"number": "1306053277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8259 WICKER AVE",
"city": "SAINT JOHN",
"state": "IN",
"postal_code": "463738878",
"telephone_number": "219-365-6560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 EXECUTIVE PARK S STE 190",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292248",
"telephone_number": "404-778-6390",
"fax_number": "404-778-6340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KO",
"first_name": "FRANK",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2009-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "GA",
"license": "PT0007597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.