Individual provider Active NPI

Clint Satterfield, PT

  • Physical Therapist
  • Cartersville, GA
National Provider Identifier
1356989255
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
15 Medical Dr NE Ste 101
Cartersville, GA 30121-8005
Phone
(770) 386-5221
Fax
(770) 386-1128
NPI assigned
Dec 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

15 Medical Dr NE Ste 101
Cartersville, GA 30121-8005

Mailing address

15 Medical Dr NE Ste 101
Cartersville, GA 30121-8005
Phone (770) 386-5221

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200121002586 GA Practitioner - Physical Therapist in Private Practice 6901231976 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shift Mobile Therapy and Wellness, LLCGroup PAC ID 9739519836, 6 clinicians

Practice addresses (Care Compare)

23 Maple Ridge Dr SE
Suite D
Cartersville, GA 30121-2229
Phone (706) 314-8504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shift Mobile Therapy and Wellness, LLC Physical Therapist CurrentSince Mar 20, 2023 Accepting new patients
Shift Mobile Therapy and Wellness, LLC Physical Therapist CurrentSince Mar 20, 2023 Accepting new patients
Georgia Bone & Joint Surgeons, P.C. Past Accepting new patients

Locations

23 Maple Ridge Dr
Ste D
Cartersville, GA 30121
Phone (706) 314-8504

314 E 1st Ave
#701
Rome, GA 30161
Phone (706) 314-8504

314 E 1st Ave
Rome, GA 30161
Phone (706) 314-8504

Organizations & group practices 3

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": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1356989255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MEDICAL DR NE STE 101",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301218005",
            "telephone_number": "770-386-5221",
            "fax_number": "770-386-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MEDICAL DR NE STE 101",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301218005",
            "telephone_number": "770-386-5221",
            "fax_number": "770-386-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTERFIELD",
        "first_name": "CLINT",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.