Individual provider Active NPI

Iain Struckmeyer, PT, DPT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1497367288
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014816 Issued in GA
Practice address
860 Johnson Fy Rd NE Ste 100
Atlanta, GA 30342-1461
Phone
(404) 252-5545
Fax
(404) 252-5511
NPI assigned
Aug 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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 PT014816 GA Primary

Addresses

Primary practice location

860 Johnson Fy Rd NE Ste 100
Atlanta, GA 30342-1461

Mailing address

1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-7217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201124001855 GA Practitioner - Physical Therapist in Private Practice 6305257346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onepoint Physical Therapy, Inc.Group PAC ID 6406141431, 12 clinicians

Practice addresses (Care Compare)

1328 Dekalb Ave NE
Suite 1
Atlanta, GA 30307-2027
Phone (404) 600-4627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT014816GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Aug 17, 2020 Accepting new patients
Onepoint Physical Therapy, Inc. Physical Therapist CurrentSince Jan 17, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Aug 17, 2020 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1328 DeKalb Ave NE
Atlanta, GA 30307
Phone (404) 222-9998

1328 DeKalb Ave NE
Ste 1
Atlanta, GA 30307
Phone (404) 600-4627

1579 Monroe Dr NE
Ste 819
Atlanta, GA 30324

867 Greenwood Ave NE
Atlanta, GA 30306
Phone (404) 600-4627

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

5500 Chamblee Dunwoody Rd
Ste 5B
Dunwoody, GA 30338
Phone (678) 981-6290

5500 Chamblee Dunwoody Rd
Ste 5E
Dunwoody, GA 30338
Phone (678) 256-3920

860 Johnson Fy Rd NE
Ste 100
Sandy Springs, GA 30342
Phone (404) 252-5545

Organizations & group practices 3

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": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1497367288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 JOHNSON FY RD NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421461",
            "telephone_number": "404-252-5545",
            "fax_number": "404-252-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUCKMEYER",
        "first_name": "IAIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014816",
            "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 Aug 21, 2020; 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.