Individual provider Active NPI

Eleanore E Purser, PT, MS, CERT. MDT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1477649002
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0009027 Issued in GA
Practice address
107 W Paces Ferry Rd NW Ste 200
Atlanta, GA 30305-1366
Phone
(404) 605-9091
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X PT009027 GA
Physical Therapist 225100000X 0009027 GA Primary

Addresses

Primary practice location

107 W Paces Ferry Rd NW Ste 200
Atlanta, GA 30305-1366

Mailing address

107 W Paces Ferry Rd NW Ste 200
Atlanta, GA 30305-1366
Phone (404) 783-3929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT009027GAMDContractor
0009027GAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1477649002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W PACES FERRY RD NW STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051366",
            "telephone_number": "404-783-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W PACES FERRY RD NW STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051366",
            "telephone_number": "404-605-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURSER",
        "first_name": "ELEANORE",
        "middle_name": "E",
        "credential": "PT, MS, CERT. MDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "GA",
            "license": "PT009027",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "0009027",
            "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 Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.