Active NPI
Halle Nuckles, DPT
- Physical Therapist
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017506
- Practice address
- 3855 Shallowford Rd Ste 415
Marietta, GA 30062-4197 - Phone
- (678) 352-0828
- NPI assigned
- Dec 9, 2024
- Last updated
- Dec 9, 2024
- Sex
- Female
- 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 | PT017506 | GA | Primary |
Addresses
Primary practice location
3855 Shallowford Rd Ste 415
Marietta, GA 30062-4197
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
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, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3855 Shallowford Rd
Suite 415
Marietta, GA 30062-4197
Phone (678) 352-0827
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017506 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
3460 Sandy Plains Rd
Unit 610
Marietta, GA 30066
Phone (678) 631-5878
3855 Shallowford Rd
Ste 415
Marietta, GA 30062
Phone (678) 352-0828
Organizations & group practices 6
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.
-
dba BenchMark Physical Therapy
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
-
- Physical Therapy Clinic/Center
- Duluth, GA
- NPI 1083666903
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1962417444
GA, Physical Therapist
-
- Physical Therapist
- Riverdale, GA
- NPI 1427000777
-
dba Benchmark PT
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Chattanooga, TN
- NPI 1518695436
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1316753825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 SHALLOWFORD RD STE 415",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300624197",
"telephone_number": "678-352-0828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUCKLES",
"first_name": "HALLE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-09",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT017506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
- Samantha Brooke Nozick
- NPTC of GBCH&FM, Inc.
- NSH Cancer Institute Professional Services G LLC
- Fredrick Ntumy, M.D.
- Audrey Helene Nuccio, MD
- Mitchell Scott Nudelman, MD
- Nuestros Ninos Our Kids Pediatrics Inc. (Nuestros Ninos Y La Famila)
- Nulife Senior Care LLC
- Antonio Nunez Jr., D.D.S.
- Jacquelyn Sofia Nunez, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.