Individual provider Active NPI

Delia Eubanks Biernath, PTA

  • Physical Therapy Assistant
  • Tucker, GA
National Provider Identifier
1417234733
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA002393 Issued in GA
Practice address
2060 E Exchange PL Ste 100
Tucker, GA 30084-5328
Phone
(770) 493-6360
Fax
(770) 493-6350
NPI assigned
Nov 15, 2011
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA002393 GA Primary

Addresses

Primary practice location

2060 E Exchange PL Ste 100
Tucker, GA 30084-5328

Mailing address

2060 E Exchange PL Ste 100
Tucker, GA 30084-5328
Phone (770) 493-6360

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
PTA002393GAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
All Health Physical Therapy Inc CurrentSince Oct 24, 2021 Accepting new patients

Locations

2060 E Exchange Pl
Ste 100
Tucker, GA 30084
Phone (770) 493-6360

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, 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": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1417234733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 E EXCHANGE PL STE 100",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845328",
            "telephone_number": "770-493-6360",
            "fax_number": "770-493-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 E EXCHANGE PL STE 100",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845328",
            "telephone_number": "770-493-6360",
            "fax_number": "770-493-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERNATH",
        "first_name": "DELIA",
        "middle_name": "EUBANKS",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA002393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.