NPIMap

Organization Active NPI

Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Tucker, GA
National Provider Identifier
1306922950
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
PHYSIOTHERAPY ASSOCIATES INC
Practice address
1370 Montreal Rd
Suite 100
Tucker, GA 30084-8128
Phone
(770) 939-3566
Fax
(770) 939-0622
NPI assigned
Oct 27, 2006
Last updated
Oct 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Rob Zigenfus
Title
Contracting
Phone
(901) 685-7227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

1370 Montreal Rd
Suite 100
Tucker, GA 30084-8128

Mailing address

332 Washington St
Ste 310
Gainesville, GA 30501-8517
Phone (770) 718-9497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070629000020 GA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 3577470442 30 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dawsonville, GA; Decatur, GA; Duluth, GA; Dunwoody, GA; Evans, GA; Jonesboro, GA; Kennesaw, GA; Lawrenceville, GA…

Other NPIs on the same Medicare enrollment 30

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 30

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1306922950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST",
            "address_2": "STE 310",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305018517",
            "telephone_number": "770-718-9497",
            "fax_number": "770-718-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 MONTREAL RD",
            "address_2": "SUITE 100",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300848128",
            "telephone_number": "770-939-3566",
            "fax_number": "770-939-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOTHERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "ZIGENFUS",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "CONTRACTING",
        "authorized_official_telephone_number": "901-685-7227"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.