Individual provider Active NPI

Justin Neal Thomas, DPT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1447515341
Registry record updated Jul 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
550 Peachtree St NE
Suite 1760
Atlanta, GA 30308-2208
Phone
(404) 367-2095
NPI assigned
Jul 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2012

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 Primary

Addresses

Primary practice location

550 Peachtree St NE
Suite 1760
Atlanta, GA 30308-2208

Mailing address

1341 Sargent Ave SE
Atlanta, GA 30316-3403
Phone (386) 747-6274

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121029000283 GA Practitioner - Physical Therapist in Private Practice 6305096363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Emory University School of Medicine, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Physical Therapy 360 DegreesGroup PAC ID 6305147836, 5 clinicians

Practice addresses (Care Compare)

800 Mount Vernon Hwy NE
Suite 140
Atlanta, GA 30328-4293
Phone (678) 430-8107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy 360 Degrees Physical Therapist CurrentSince Jul 25, 2016 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist Past Accepting new patients
High Performance Physical Therapy Centers Physical Therapist Past Accepting new patients

Locations

3565 Piedmont Rd NE
Ste 310
Atlanta, GA 30305
Phone (404) 352-8900

800 Mount Vernon Hwy NE
Ste 140
Sandy Springs, GA 30328
Phone (678) 430-8107

5400 Laurel Springs Pkwy
Ste 1401
Suwanee, GA 30024
Phone (678) 208-0165

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341619200000",
    "number": "1447515341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 SARGENT AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303163403",
            "telephone_number": "386-747-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1760",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082208",
            "telephone_number": "404-367-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JUSTIN",
        "middle_name": "NEAL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-07",
        "last_updated": "2012-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2012; 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.