Individual provider Active NPI

Kathleen Tierney Geist, P,T,, OCS, COMT

  • Specialist
  • Atlanta, GA
National Provider Identifier
1366614331
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
005621 Issued in GA
Practice address
1441 Clifton Rd NE RM 170
Atlanta, GA 30322-1004
Phone
(404) 712-5660
Fax
(404) 712-4130
NPI assigned
Mar 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 005621 GA Primary

Addresses

Primary practice location

1441 Clifton Rd NE RM 170
Atlanta, GA 30322-1004

Mailing address

3351 Connemara Trce
Lawrenceville, GA 30044-4846
Phone (770) 527-9843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Back Clinic - Orthopedic Phys Therapy & Training Ctr Inc PastSince Feb 22, 2012 Accepting new patients

Organizations & group practices 1

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": "1206835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1366614331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 CONNEMARA TRCE",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444846",
            "telephone_number": "770-527-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 CLIFTON RD NE RM 170",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221004",
            "telephone_number": "404-712-5660",
            "fax_number": "404-712-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIST",
        "first_name": "KATHLEEN",
        "middle_name": "TIERNEY",
        "name_prefix": "Mrs.",
        "credential": "P,T,, OCS, COMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-30",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "005621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.