Allya Macdonald Maerz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA003519 Issued in GA

Practice address

755 Epps Bridge Pkwy
Athens, GA 30606-6987

Phone

(706) 995-7177

NPI assigned

Aug 8, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1487209128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CRESTVIEW CIR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 EPPS BRIDGE PKWY",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066987",
            "telephone_number": "706-995-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAERZ",
        "first_name": "ALLYA",
        "middle_name": "MACDONALD",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cullen Macdonald, LPC
• Elisse Mackay, DMD
• Rene Benjamin Mackay, M.D.
• Jennifer Madeo, DO
• Gabriel Ikemba Madu, M.D., D.O., M.P.H.
• Cortney Maffett
• Daniel H Magill III, MD
• Brett Magner, M.D.
• Jonathan Trent Magruder, M.D.
• Matthew David Joshua Mahabir, M.D.

• Physical Therapy Assistant in Athens, GA
• Providers in Athens, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.