Active NPI
Carmen T Wurtz, P.T., D.P.T.
- Physical Therapist
- Alpharetta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015689
- Practice address
- 12850 Highway 9 N Ste 1050
Alpharetta, GA 30004-4669 - Phone
- (678) 332-5800
- Fax
- (678) 681-9004
- NPI assigned
- Aug 14, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015689 | GA | Primary |
| Physical Therapist | 225100000X | 006695 | KY |
Addresses
Primary practice location
12850 Highway 9 N Ste 1050
Alpharetta, GA 30004-4669
Mailing address
PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211203002009 | GA | Practitioner - Physical Therapist in Private Practice | 1052616265 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Emory University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Independent Physical Therapy of Georgia, LLC
Practice addresses (Care Compare)
3480 Keith Bridge Rd
Suite C2
Cumming, GA 30041-5570
Phone (678) 455-8773
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT015689 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therapy of Ga, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Benchmark Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
2900 Peachtree Rd NW
Ste 208
Atlanta, GA 30305
Phone (678) 365-3588
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
1370 Buford Hwy
Ste 108
Cumming, GA 30041
Phone (770) 205-1669
3480 Keith Bridge Rd
Ste C2
Cumming, GA 30041
Phone (678) 455-8773
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
860 Duluth Hwy
Ste 140
Lawrenceville, GA 30043
Phone (470) 410-1444
Organizations & group practices 16
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.
-
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
GA, Physical Therapist
-
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
-
- Physical Therapist
- Dawsonville, GA
- NPI 1386515955
-
- Physical Therapist
- Blairsville, GA
- NPI 1588931190
-
- Physical Therapy Clinic/Center
- Marietta, GA
- NPI 1013292119
-
- Physical Therapist
- Hoschton, GA
- NPI 1124295779
-
- Physical Therapist
- Canton, GA
- NPI 1457608861
-
- Physical Therapist
- Demorest, GA
- NPI 1467556829
-
- Physical Therapist
- Dahlonega, GA
- NPI 1487962684
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1609022136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638230400000",
"number": "1538568720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306393",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372306393",
"telephone_number": "615-373-1350",
"fax_number": "615-221-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12850 HIGHWAY 9 N STE 1050",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300044669",
"telephone_number": "678-332-5800",
"fax_number": "678-681-9004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WURTZ",
"first_name": "CARMEN",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "P.T., D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-14",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT015689",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "006695",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.