Individual provider Active NPI

Rachel Malina, PT, DPT

  • Physical Therapist
  • Decatur, GA
National Provider Identifier
1417323627
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012068 Issued in GA
Practice address
141 Sams St Ste a
Decatur, GA 30030-4101
Phone
(404) 296-8511
Fax
(404) 296-8514
NPI assigned
Aug 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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 PT012068 GA Primary

Addresses

Primary practice location

141 Sams St Ste a
Decatur, GA 30030-4101

Mailing address

141 Sams St Ste a
Decatur, GA 30030-4101
Phone (404) 296-8511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170817000090 GA Practitioner - Physical Therapist in Private Practice 8820360456 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Transperfect Health CorpGroup PAC ID 3173982287, 33 clinicians

Practice addresses (Care Compare)

1170 Peachtree St NE
Suite 1600
Atlanta, GA 30309-7674
Phone (570) 854-1632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT012068GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Aug 11, 2022 Accepting new patients
Decatur Hand and Physical Therapy Specialists Limited Partnership Physical Therapist CurrentSince Jul 12, 2017 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Aug 11, 2022 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

141 Sams St
Ste A
Decatur, GA 30030
Phone (404) 296-8511

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1417323627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SAMS ST STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304101",
            "telephone_number": "404-296-8511",
            "fax_number": "404-296-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SAMS ST STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304101",
            "telephone_number": "404-296-8511",
            "fax_number": "404-296-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALINA",
        "first_name": "RACHEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.