Stephen Nicholas Arroyo, PT ATC

Individual provider Active NPI Physical Therapist · Johns Creek, GA

NPI 1477587475 · NPPES record last updated Apr 12, 2011

Key facts

NPI
1477587475
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
6497 (GA)
Practice address
10160 Medlock Bridge Rd
Ste B
Johns Creek, GA 30097-4419
Phone
(678) 584-1622
Fax
(678) 584-1673
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therasport Physical Therapy Inc. (2 clinicians)

Practice addresses (Care Compare)

10160 Medlock Bridge Rd B
Johns Creek, GA 30097-4419
Phone (678) 584-1622

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050916000208 GA Practitioner - Physical Therapist in Private Practice 8224061650 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6497GAMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Therasport Physical Therapy Inc. Current
since Jul 1, 2000
Accepting new patients
Cimarron Physical Therapy Inc Past Accepting new patients

Locations

10160 Medlock Bridge Rd
Ste B
Johns Creek, GA 30097
Phone (678) 584-1622

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6497 GA Yes

Addresses

Primary practice location

10160 Medlock Bridge Rd
Ste B
Johns Creek, GA 30097-4419

Mailing address

PO Box 923387
Norcross, GA 30010
Phone (678) 584-1622

Other providers in Johns Creek, GA

All providers in Johns Creek, GA · Physical Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.