Individual provider Active NPI

Erica Carey Dekle, PT, DPT

  • Physical Therapist
  • Brookhaven, GA
National Provider Identifier
1427797232
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015924 Issued in GA
Practice address
2669 Osborne Rd NE
Brookhaven, GA 30319-8400
Phone
(404) 477-7777
NPI assigned
May 31, 2022
Last updated
May 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2022

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 PT015924 GA Primary

Addresses

Primary practice location

2669 Osborne Rd NE
Brookhaven, GA 30319-8400

Mailing address

4210 Craftsman St
Johns Creek, GA 30097-2538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments

Enrollment records 2

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

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Activcore Health Network LLCGroup PAC ID 9830400456, 25 clinicians

Practice addresses (Care Compare)

1145 Zonolite Rd NE
Suite 13
Atlanta, GA 30306-2017
Phone (800) 455-8982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015924GAMDPhysical Therapist

Practice roles

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

Locations

1145 Zonolite Rd NE
Ste 13
Atlanta, GA 30306
Phone (404) 849-5666

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

555 10th St NW
Atlanta, GA 30318
Phone (404) 477-8888

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

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": "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.