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

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.

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 (25 clinicians)

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
PT015924GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Meadows Hand and Physical Therapy Clinic Physical Therapist Current
since May 10, 2023
Accepting new patients
Activcore Health Network LLC Physical Therapist Current
since May 10, 2023
Accepting new patients
Georgia Luna Care Physical Therapy LLC Physical Therapist Current
since Dec 15, 2023
Accepting new patients
BJT & Associates Physical Therapist Current
since Jun 1, 2022
Accepting new patients
The Sports Rehabilitation Center Current
since Aug 1, 2022
Accepting new patients
BJT and Associates Physical Therapist Past
since Jun 1, 2022
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 31, 2022.

{
    "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

All providers in Brookhaven, GA · Physical Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.