Individual provider Active NPI

Joseph R Nally Jr., PT, DPT

  • Physical Therapist
  • Sandy Springs, GA
National Provider Identifier
1477264869
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017008 Issued in GA
Practice address
6635 Roswell Rd NE
Sandy Springs, GA 30328
Phone
(678) 332-2030
NPI assigned
Dec 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 049625 NY
Physical Therapist 225100000X PT017008 GA Primary

Addresses

Primary practice location

6635 Roswell Rd NE
Sandy Springs, GA 30328

Mailing address

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

Other practice location 1

500 Nathan Dean Blvd Ste 108
Dallas, GA 30157-4912
Phone (678) 402-7770

Other practice location 2

2983 Chapel Hill Rd Ste 106
Douglasville, GA 30135-1767
Phone (770) 947-8177

Other practice location 3

120 Cunningham Dr Ste F
Carrollton, GA 30117-2818
Phone (678) 664-1467

Other practice location 4

310 Taughannock Blvd
Ithaca, NY 14850-3251
Phone (570) 396-8687

Other practice location 5

2000 Mirror Lake Blvd Ste S
Villa Rica, GA 30180-2126
Phone (770) 456-7877

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240322004076 GA Practitioner - Physical Therapist in Private Practice 3971940156 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

1025 E W Connector
Suite 406
Austell, GA 30106-8531
Phone (770) 384-1001

215 Davis Blvd
Bremen, GA 30110-2569
Phone (678) 821-3425

2750 Chapel Hill Rd
Suite 1200
Douglasville, GA 30135-1721
Phone (678) 981-6290

3855 Shallowford Rd
Suite 415
Marietta, GA 30062-4197
Phone (678) 352-0827

4959 Bill Gardner Pkwy
Suite 109
Locust Grove, GA 30248-2915
Phone (770) 914-9285

6635 Roswell Rd
Atlanta, GA 30328-3103
Phone (678) 332-2030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT017008GAMDPhysical Therapist
049625NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 7, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jun 7, 2024 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Jun 7, 2024 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Jun 7, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 7, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jun 7, 2024 Accepting new patients
Cayuga Medical Center PastSince Dec 1, 2022 Accepting new patients
Cayuga Medical Center at Ithaca PastSince Dec 1, 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

215 Davis Blvd
Bremen, GA 30110
Phone (678) 821-3425

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

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

Organizations & group practices 8

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": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1477264869",
    "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": "6635 ROSWELL RD NE",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "678-332-2030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Nathan Dean Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "GA",
            "postal_code": "301574912",
            "country_code": "US",
            "telephone_number": "678-402-7770",
            "fax_number": "678-402-6947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2983 Chapel Hill Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301351767",
            "country_code": "US",
            "telephone_number": "770-947-8177",
            "fax_number": "770-947-8377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Cunningham Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301172818",
            "country_code": "US",
            "telephone_number": "678-664-1467",
            "fax_number": "678-664-1483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Taughannock Blvd",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148503251",
            "country_code": "US",
            "telephone_number": "570-396-8687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Mirror Lake Blvd Ste S",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301802126",
            "country_code": "US",
            "telephone_number": "770-456-7877",
            "fax_number": "770-456-7880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NALLY",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-07",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049625",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.