Individual provider Active NPI

Joshua M Houseal, DPT

  • Physical Therapist
  • Peachtree City, GA
National Provider Identifier
1326456435
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011944 Issued in GA
Practice address
611 Highway 74 S
Suite 720
Peachtree City, GA 30269-3081
Phone
(770) 632-6800
Fax
(770) 632-6060
NPI assigned
Aug 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT023893 PA
Physical Therapist 225100000X PT011944 GA Primary

Addresses

Primary practice location

611 Highway 74 S
Suite 720
Peachtree City, GA 30269-3081

Mailing address

3455 Highway 81
Loganville, GA 30052-9138
Phone (770) 554-0665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151214000188 GA Practitioner - Physical Therapist in Private Practice 0345460879 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benchmark Physical Therapy, IncGroup PAC ID 1557395209, 69 clinicians

Practice addresses (Care Compare)

1025 E W Connector
Suite 406
Austell, GA 30106-8531
Phone (770) 384-1001

1680 Eatonton Rd
Madison, GA 30650-4628
Phone (706) 342-1971

1820 Hwy 20 SE
Suite 160
Conyers, GA 30013-2080
Phone (770) 929-8872

1958 N Columbia St
Milledgeville, GA 31061-2093
Phone (478) 295-2109

2120 W Spring St
Suite 1600
Monroe, GA 30655-3901
Phone (678) 712-3686

3007 Panola Rd
Suite C
Lithonia, GA 30038-2492
Phone (770) 987-1122

6183 Lake Oconee Pkwy
Greensboro, GA 30642-3823
Phone (762) 445-1940

7201 Turner Lake Rd NW
Suite 13
Covington, GA 30014-2067
Phone (470) 444-1609

8200 Mall Pkwy
Suite 135
Lithonia, GA 30038-6984
Phone (470) 974-2792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT011944GAMDPhysical Therapist
PT023893PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Oct 26, 2020 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Oct 26, 2020 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Oct 26, 2020 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Sep 7, 2015 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Oct 26, 2020 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

1820 Highway 20 SE
Ste 160
Conyers, GA 30013
Phone (770) 922-9222

2838 E Atlanta Rd
Ste 2
Ellenwood, GA 30294
Phone (678) 782-3609

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

611 Highway 74 S
Ste 720
Peachtree City, GA 30269
Phone (770) 632-6800

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

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.

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1326456435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 HIGHWAY 81",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300529138",
            "telephone_number": "770-554-0665",
            "fax_number": "770-554-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 HIGHWAY 74 S",
            "address_2": "SUITE 720",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693081",
            "telephone_number": "770-632-6800",
            "fax_number": "770-632-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSEAL",
        "first_name": "JOSHUA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-01",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023893",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.

Verify at the official NPI Registry.