Dr. Peggy Marbach Vestibular Rehab Specialist, LLC

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

000406 Issued in GA

Legal business name

DR. PEGGY MARBACH VESTIBULAR REHAB SPECIALIST, LLC

Practice address

6849 Peachtree Dunwoody Road
Building B-4, Suite #100
Sandy Springs, GA 30328-6776

Phone

(770) 522-9800

NPI assigned

Jun 14, 2017

Organization subpart

No

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

Authorized official

Name

Peggy MarbachNPI 1073048666

Title

Owner

Phone

(770) 522-9800

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Peggy Marbach, O.T.D., O.T.R.

  • Physical Rehabilitation Occupational Therapist
  • Sandy Springs, GA
  • NPI 1073048666
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497398400000",
    "number": "1437689288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2474 REGENCY LAKE DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628408",
            "telephone_number": "770-378-8746",
            "fax_number": "770-522-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 PEACHTREE DUNWOODY ROAD",
            "address_2": "BUILDING B-4, SUITE #100",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303286776",
            "telephone_number": "770-522-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PEGGY MARBACH VESTIBULAR REHAB SPECIALIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A",
        "authorized_official_last_name": "MARBACH",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-522-9800"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "GA",
            "license": "000406",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "GA",
            "license": "000406",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY",
            "identifier": "1073048666",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Rehabilitation Occupational Therapist in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Physical Rehabilitation Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.