Individual provider Active NPI

Andrea Vargas O'Neal, MPT

  • Physical Therapist
  • Johns Creek, GA
National Provider Identifier
1386682649
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008107 Issued in GA
Practice address
1930 Bobby Jones Dr
Johns Creek, GA 30097-2402
Phone
(404) 931-7248
Fax
(404) 920-2154
NPI assigned
Jun 2, 2006
Last updated
Oct 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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 PT008107 GA Primary
Physical Therapist 225100000X PT26941 FL

Addresses

Primary practice location

1930 Bobby Jones Dr
Johns Creek, GA 30097-2402

Mailing address

4261 Flippen TRL
Norcross, GA 30092-3927
Phone (404) 931-7248

Other identifiers 2

IdentifierTypeStateIssuer
200801OtherGABCBS GA
220541280AMedicaidGA

Other names 1

  • Andrea Vargas Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060105000915 GA Practitioner - Physical Therapist in Private Practice 1850314741 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BNB Wellness LLCGroup PAC ID 3870843188, 4 clinicians

Practice addresses (Care Compare)

1930 Bobby Jones Dr
Johns Creek, GA 30097-2402
Phone (404) 931-7248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT26941FLMDPhysical Therapist
PT008107GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BJT and Associates Physical Therapist CurrentSince Dec 3, 2007 Accepting new patients
BJT & Associates Physical Therapist CurrentSince Dec 3, 2007 Accepting new patients
Sandy Springs Physical Therapy LLC Physical Therapist CurrentSince Jul 15, 2014 Accepting new patients
BNB Wellness LLC Physical Therapist CurrentSince Sep 29, 2021 Accepting new patients
The Sports Rehabilitation Center PastSince Oct 3, 2011 Accepting new patients

Locations

2669 Osborne Rd NE
Brookhaven, GA 30319
Phone (404) 477-7777

2669 Osborne Rd NE
Ste A
Brookhaven, GA 30319
Phone (404) 477-4777

1930 Bobby Jones Dr
Johns Creek, GA 30097
Phone (404) 931-7248

5290 Roswell Rd
Ste W
Sandy Springs, GA 30342
Phone (404) 477-5555

Networks

  • Optimum HealthCare HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1386682649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 FLIPPEN TRL",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923927",
            "telephone_number": "404-931-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 BOBBY JONES DR",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300972402",
            "telephone_number": "404-931-7248",
            "fax_number": "404-920-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "ANDREA",
        "middle_name": "VARGAS",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008107",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT26941",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GA",
            "identifier": "200801",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220541280A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "VARGAS",
            "credential": "MPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.