Active NPI
George Brent Applegate, MPT
- Physical Therapist
- Atlanta, GA
National Provider Identifier
1306970629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007063
- Practice address
- 4371 Powers Ferry Rd
Atlanta, GA 30327-3420 - Phone
- (678) 984-7774
- Fax
- (888) 551-6210
- NPI assigned
- Mar 16, 2007
- Last updated
- Dec 29, 2016
- Sex
- Male
- Sole proprietor
- No
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 Therapist | 225100000X | PT007063 | GA | Primary |
Addresses
Primary practice location
4371 Powers Ferry Rd
Atlanta, GA 30327-3420
Mailing address
316 S Washington Ave
Fort Collins, CO 80521-2559
Phone (678) 984-7774
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52704274 | Other | GA | BCBS OF GA PROVIDER ID |
| 148541482B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
725 S Overland Trail
Fort Collins, CO 80523-1669
Phone (970) 491-1651
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Fort Collins, CO
- NPI 1811021157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482969600000",
"number": "1306970629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 S WASHINGTON AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805212559",
"telephone_number": "678-984-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4371 POWERS FERRY RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303273420",
"telephone_number": "678-984-7774",
"fax_number": "888-551-6210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APPLEGATE",
"first_name": "GEORGE",
"middle_name": "BRENT",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2016-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT007063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF GA PROVIDER ID",
"identifier": "52704274",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148541482B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Apple Community Health Services LLC
- Apple Community Health Services LLC
- Christy Michelle Apple, APRN
- Luke Apple, DC
- Cheryl Appleberry, ATC
- Kerri Applegate, PT
- Lillian Philnise Appleton, M.ED.
- Tricia Ann Appleton, M.D.
- Applications Technology Group, Inc.
- Applied Behavior Analysis Services Incorporated
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.