Individual provider Active NPI

Carmen T Wurtz, P.T., D.P.T.

  • Physical Therapist
  • Alpharetta, GA
National Provider Identifier
1538568720
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015689 Issued in GA
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

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 526 clinicians

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

LicenseStateTypeSpecialty
PT015689GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Ga, LLC Physical Therapist CurrentSince Mar 24, 2023 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Aug 1, 2023 Accepting new patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Mar 24, 2023 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.

View all 16

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.

Verify at the official NPI Registry.