Individual provider Active NPI

Micah Lea Hurrelbrink, DPT

  • Physical Therapist
  • Kathleen, GA
National Provider Identifier
1457452831
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015848 Issued in GA
Practice address
660 Lake Joy Rd Ste D
Kathleen, GA 31047-2382
Phone
(478) 313-5385
NPI assigned
Sep 26, 2006
Last updated
Feb 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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 PT015848 GA Primary

Addresses

Primary practice location

660 Lake Joy Rd Ste D
Kathleen, GA 31047-2382

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (866) 518-0283

Other practice location 1

150 Osigian Blvd Ste 300
Warner Robins, GA 31088-8978
Phone (478) 333-3075

Other names 1

  • Micah Lea Mills Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221221000736 GA Practitioner - Physical Therapist in Private Practice 8820467400 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Creighton University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11365 Tara Blvd
Hampton, GA 30228-6261
Phone (770) 999-0849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015848GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Jan 30, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jan 30, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jan 30, 2023 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Jan 30, 2023 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Jan 30, 2023 Accepting new patients
R Jason Kent Physical Therapy LLC Physical Therapist CurrentSince Oct 21, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1820 Highway 20 SE
Ste 160
Conyers, GA 30013
Phone (770) 922-9222

7201 Turner Lake Rd NW
Ste 13
Covington, GA 30014
Phone (470) 444-1609

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

660 Lake Joy Rd
Ste D
Kathleen, GA 31047
Phone (478) 313-5385

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

11365 Tara Blvd
Lovejoy, GA 30228
Phone (770) 999-0849

6040 Lakeside Commons Dr
Ste A
Macon, GA 31210
Phone (478) 254-6880

140 Osigian Blvd
Ste 300
Warner Robins, GA 31088
Phone (478) 329-0291

150 Osigian Blvd
Ste 300
Warner Robins, GA 31088
Phone (478) 333-3075

1615 State Highway 17
Ste 9
Young Harris, GA 30582
Phone (706) 896-2771

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 6

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1457452831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "866-518-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 LAKE JOY RD STE D",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472382",
            "telephone_number": "478-313-5385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Osigian Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310888978",
            "country_code": "US",
            "telephone_number": "478-333-3075",
            "fax_number": "478-333-3484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURRELBRINK",
        "first_name": "MICAH",
        "middle_name": "LEA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICAH",
            "last_name": "MILLS",
            "middle_name": "LEA",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kathleen, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.