Active NPI
Jian Xu
- Physical Therapist
- Stone Mountain, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017364
- Practice address
- 1227 Rockbridge Rd Ste 212
Stone Mountain, GA 30087-3040 - Phone
- (770) 925-9210
- NPI assigned
- Oct 2, 2024
- 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 | PT017364 | GA | Primary |
Addresses
Primary practice location
1227 Rockbridge Rd Ste 212
Stone Mountain, GA 30087-3040
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (866) 518-0283
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)
1227 Rockbridge Rd
Suite 212
Stone Mountain, GA 30087-3040
Phone (770) 925-9210
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017364 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Agilitas USA Inc | 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
2900 Peachtree Rd NW
Ste 208
Atlanta, GA 30305
Phone (678) 365-3588
2865 N Druid Hills Rd NE
#B
Atlanta, GA 30329
Phone (404) 228-3678
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
11720 Medlock Bridge Rd
Ste 550
Johns Creek, GA 30097
Phone (678) 364-7195
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
860 Duluth Hwy
Ste 140
Lawrenceville, GA 30043
Phone (470) 410-1444
5450 Peachtree Pkwy
Ste 1F
Peachtree Corners, GA 30092
Phone (678) 823-6100
10800 Alpharetta Hwy
Ste 176
Roswell, GA 30076
Phone (678) 364-7195
6635 Roswell Rd
Sandy Springs, GA 30328
Phone (678) 332-2030
2059 Scenic Hwy N
Ste C
Snellville, GA 30078
Phone (470) 568-2818
1227 Rockbridge Rd
Ste 212
Stone Mountain, GA 30087
Phone (770) 925-9210
4135 Lavista Rd
Ste 110
Tucker, GA 30084
Phone (470) 568-2622
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 and National Provider Directory roles.
-
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
-
- Physical Therapy Clinic/Center
- Duluth, GA
- NPI 1083666903
-
- Physical Therapist
- Riverdale, GA
- NPI 1427000777
-
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727827200000",
"number": "1336967892",
"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": "866-518-0283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 ROCKBRIDGE RD STE 212",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300873040",
"telephone_number": "770-925-9210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XU",
"first_name": "JIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-02",
"last_updated": "2024-10-02",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT017364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.