Basilio A Papotto, PT, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT006396 Issued in GA

Practice address

2097 N Decatur Rd
Decatur, GA 30033-5305

Phone

(404) 634-7171

Fax

(404) 634-7176

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Immanuels Word Inc

  dba Body Pros Physical Therapy

  • Physical Therapy Clinic/Center
  • Alpharetta, GA
  • NPI 1912949322
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1326127002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2097 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335305",
            "telephone_number": "404-634-7171",
            "fax_number": "404-634-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1014 Sycamore Dr",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300301644",
            "country_code": "US",
            "telephone_number": "404-299-6060",
            "fax_number": "404-299-6383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPOTTO",
        "first_name": "BASILIO",
        "middle_name": "A",
        "credential": "PT, MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT006396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ajitabh Pandey, M.D.
• Asha G Pandya, MD
• Jasmine Paniagua-Banuelos, MSW
• Shama Panjwani
• Yvanna Pantner, LMSW
• Dionne Campbell Parchment
• Erica Parham
• Park Central Family Practice, Inc.
• Ashley Park, RD, LD
• Juliane Yoosun Park, PHARMD

• Physical Therapist in Decatur, GA
• Providers in Decatur, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.