Erica Carey Dekle, PT, DPT
Individual provider Active NPI Physical Therapist · Brookhaven, GA
NPI 1427797232 · NPPES record last updated May 31, 2022
Key facts
- NPI
- 1427797232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT015924 (GA)
- Practice address
- 2669 Osborne Rd NE
Brookhaven, GA 30319-8400 - Phone
- (404) 477-7777
- NPI assigned
- May 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Activcore Health Network LLC
Practice addresses (Care Compare)
1145 Zonolite Rd NE
Suite 13
Atlanta, GA 30306-2017
Phone (800) 455-8982
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in GA, AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220711000292 | GA | Practitioner - Physical Therapist in Private Practice | 4981084704 | Reassigns benefits to 4 organizations |
| I20260518002352 | AL | Practitioner - Physical Therapist in Private Practice | 4981084704 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT015924 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadows Hand and Physical Therapy Clinic | Physical Therapist | Current |
Accepting new patients |
| Activcore Health Network LLC | Physical Therapist | Current |
Accepting new patients |
| Georgia Luna Care Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| BJT & Associates | Physical Therapist | Current |
Accepting new patients |
| The Sports Rehabilitation Center | Current |
Accepting new patients | |
| BJT and Associates | Physical Therapist | Past |
Accepting new patients |
Locations
260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870
555 10th St NW
Atlanta, GA 30318
Phone (404) 477-8888
1145 Zonolite Rd NE
Ste 13
Atlanta, GA 30306
Phone (404) 849-5666
2669 Osborne Rd NE
Brookhaven, GA 30319
Phone (404) 477-7777
2669 Osborne Rd NE
Ste A
Brookhaven, GA 30319
Phone (404) 477-4777
5342 Tilly Mill Rd
Dunwoody, GA 30338
Phone (678) 812-4031
10700 Medlock Bridge Rd
Ste 105
Johns Creek, GA 30097
Phone (770) 623-0105
800 Bunn Dr
Ste 102
Princeton, NJ 08540
Phone (609) 466-9004
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015924 | GA | Yes |
Addresses
Primary practice location
2669 Osborne Rd NE
Brookhaven, GA 30319-8400
Mailing address
4210 Craftsman St
Johns Creek, GA 30097-2538
NPI Registry JSON
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653955200000",
"number": "1427797232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4210 CRAFTSMAN ST",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300972538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2669 OSBORNE RD NE",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303198400",
"telephone_number": "404-477-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEKLE",
"first_name": "ERICA",
"middle_name": "CAREY",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-31",
"last_updated": "2022-05-31",
"certification_date": "2022-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT015924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, GA
- Paris Davis
- Rynaisha Davis
- Venneisa Day
- Hannah Katherine Deese
- Lauren C Defife
- Sean Delfavero
- Kailey Delgado
- Sophia Ashley Demelo
- Dental 3B LLC
- Dentistry of Brookhaven Corporation
All providers in Brookhaven, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.