Individual provider Active NPI

Benjamin Thomas

  • Physical Therapist
  • Hoover, AL
National Provider Identifier
1477236099
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone
(800) 367-5970
NPI assigned
Aug 10, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (800) 367-5970

Other practice location 1

1366 US Highway 82 W
Leesburg, GA 31763-5810
Phone (229) 883-4009

Other practice location 2

1615 State Highway 17 Ste 9
Young Harris, GA 30582-1880
Phone (706) 896-2771

Other practice location 3

885 Dawsonville Hwy Ste 1140
Gainesville, GA 30501-2642
Phone (678) 943-8691

Other practice location 4

1296 Sims St
Gainesville, GA 30501-3873
Phone (770) 297-1700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230830001896 GA Practitioner - Physical Therapist in Private Practice 6608239215 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
Gainesville Physical Therapy LLC Physical Therapist CurrentSince Aug 10, 2023 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Mar 4, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Mar 4, 2024 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

1296 Sims St
Ste A
Gainesville, GA 30501
Phone (770) 297-1700

885 Dawsonville Hwy
Ste 1140
Gainesville, GA 30501
Phone (678) 943-8691

6635 Roswell Rd
Sandy Springs, GA 30328
Phone (678) 332-2030

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

Organizations & group practices 5

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": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1477236099",
    "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": "800-367-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "800-367-5970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1366 US Highway 82 W",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "GA",
            "postal_code": "317635810",
            "country_code": "US",
            "telephone_number": "229-883-4009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 State Highway 17 Ste 9",
            "address_purpose": "LOCATION",
            "city": "Young Harris",
            "state": "GA",
            "postal_code": "305821880",
            "country_code": "US",
            "telephone_number": "706-896-2771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "885 Dawsonville Hwy Ste 1140",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305012642",
            "country_code": "US",
            "telephone_number": "678-943-8691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1296 Sims St",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013873",
            "country_code": "US",
            "telephone_number": "770-297-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "BENJAMIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-10",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.