Individual provider Active NPI

Jane Choe-Dobias, PT

  • Specialist
  • Suwanee, GA
National Provider Identifier
1437455193
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
032628-1 Issued in NY
Practice address
4411 Suwanee Dam Rd
Suwanee, GA 30024-8701
Phone
(770) 904-2332
NPI assigned
Jan 28, 2011
Last updated
Oct 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT013666 GA
Specialist 174400000X 032628-1 NY Primary

Addresses

Primary practice location

4411 Suwanee Dam Rd
Suwanee, GA 30024-8701

Mailing address

4411 Suwanee Dam Rd Ste 330
Suwanee, GA 30024-8702
Phone (770) 904-2332

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200228001100 GA Practitioner - Physical Therapist in Private Practice 1850728064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Above Physical Therapy, LLCGroup PAC ID 6406030022, 3 clinicians

Practice addresses (Care Compare)

4411 Suwanee Dam Rd
Suite 330
Suwanee, GA 30024-8702
Phone (770) 904-2332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
032628-1NYMDSpecialist
PT013666GAMDPhysical Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Above Physical Therapy, LLC Physical Therapy CurrentSince Nov 11, 2019 Accepting new patients
The Pilates, Therapy and Wellness Center of Westchester Physical Therapy Past Accepting new patients
Physical Therapy and Wellness of Westchester Physical Therapy Past Accepting new patients

Locations

4411 Suwanee Dam Rd
Ste 330
Suwanee, GA 30024
Phone (770) 904-2332

Organizations & group practices 3

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": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1437455193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 SUWANEE DAM RD STE 330",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248702",
            "telephone_number": "770-904-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4411 SUWANEE DAM RD",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300248701",
            "telephone_number": "770-904-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOE-DOBIAS",
        "first_name": "JANE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-28",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT013666",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "032628-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.