Individual provider Active NPI

Summer Hargraves, DPT

  • Physical Therapist
  • Brookhaven, GA
National Provider Identifier
1417633694
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016655 Issued in GA
Practice address
3929 Peachtree Rd NE Ste 220
Brookhaven, GA 30319-3374
Phone
(678) 684-2220
Fax
(678) 680-3142
NPI assigned
Jun 23, 2023
Last updated
Jun 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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 PT016655 GA Primary

Addresses

Primary practice location

3929 Peachtree Rd NE Ste 220
Brookhaven, GA 30319-3374

Mailing address

900 Circle 75 Pkwy SE Ste 1700
Atlanta, GA 30339-3087
Phone (770) 953-6929

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231018000055 GA Practitioner - Physical Therapist in Private Practice 8022463629 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 Tower Rd NE
Suite 200
Marietta, GA 30060-9403
Phone (770) 427-5717

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016655GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Orthopedics, LLC CurrentSince Jul 31, 2023 Accepting new patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC CurrentSince Aug 4, 2025 Accepting new patients
Pinnacle Orthopaedics & Sports Medicine Specialists LLC Physical Therapist CurrentSince Aug 4, 2025 Accepting new patients
Orthoatlanta, LLC Current Accepting new patients
Orthoatlanta, LLC CurrentSince Jul 31, 2023 Accepting new patients
Orthoatlanta, LLC Physical Therapist CurrentSince Jul 31, 2023 Accepting new patients
Orthoatlanta, LLC Past Accepting new patients

Locations

900 Circle 75 Pkwy SE
Ste 1700
Atlanta, GA 30339
Phone (770) 953-6929

3929 Peachtree Rd NE
Ste 220
Brookhaven, GA 30319
Phone (678) 684-2220

3929 Peachtree Rd NE
Ste 250
Brookhaven, GA 30319
Phone (404) 352-1053

1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771

300 Tower Rd NE
Ste 101
Marietta, GA 30060
Phone (770) 218-0219

620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812

300 Tower Rd NE
Ste 200
Marietta, GA 30060
Phone (770) 427-5717

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4

Organizations & group practices 7

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": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1417633694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CIRCLE 75 PKWY SE STE 1700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393087",
            "telephone_number": "770-953-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 PEACHTREE RD NE STE 220",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193374",
            "telephone_number": "678-684-2220",
            "fax_number": "678-680-3142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGRAVES",
        "first_name": "SUMMER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.