Individual provider Active NPI

Marta Adamovic, DPT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1376897561
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010857 Issued in GA
Practice address
570 Bismark Rd NE
Atlanta, GA 30324-4271
Phone
(404) 547-5823
Fax
(470) 745-0654
NPI assigned
Nov 9, 2012
Last updated
Jan 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 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 PT010857 GA Primary

Addresses

Primary practice location

570 Bismark Rd NE
Atlanta, GA 30324-4271

Mailing address

570 Bismark Rd NE
Atlanta, GA 30324-4271
Phone (404) 547-5823

Other identifiers 1

IdentifierTypeStateIssuer
003129480AMedicaidGA

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT010857GAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1376897561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 BISMARK RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244271",
            "telephone_number": "404-547-5823",
            "fax_number": "470-745-0654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 BISMARK RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244271",
            "telephone_number": "404-547-5823",
            "fax_number": "470-745-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMOVIC",
        "first_name": "MARTA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-09",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003129480A",
            "state": "GA"
        }
    ],
    "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 Jan 17, 2019; 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.