Active NPI
Valentine K Mba, DPT
- Physical Therapist
- Roswell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016665
- Practice address
- 920 Marietta Hwy Ste 340
Roswell, GA 30075-6751 - Phone
- (470) 857-3604
- Fax
- (470) 777-4259
- NPI assigned
- Jul 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016665 | GA | Primary |
Addresses
Primary practice location
920 Marietta Hwy Ste 340
Roswell, GA 30075-6751
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other practice location 1
5568 Claridge Cir
Lithonia, GA 30038-1190
Phone (470) 609-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1968 Hawks LN NE
Brookhaven, GA 30329-2283
Phone (404) 251-2537
260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175
920 Marietta Hwy
Suite 340
Roswell, GA 30075-6751
Phone (470) 857-3604
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 85.59
- Improvement activities
- 40
- Cost
- 69.27
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.7 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 73.99
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCM Rehabilitation, LLC. | Physical Therapist | Current | Accepting new patients |
| MCM Rehabilitation LLC | Current | Accepting new patients | |
| Georgia Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Emory Physical Therapy, LLC | Current | Accepting new patients |
Locations
21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516
260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870
97 Gateway Business Park Dr
Ringgold, GA 30736
Phone (706) 937-5771
920 Marietta Hwy
Ste 340
Roswell, GA 30075
Phone (470) 857-3604
4650 Hugh Howell Rd
Ste 270
Tucker, GA 30084
Phone (470) 857-3606
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cr
Chicago, IL 60674
Organizations & group practices 4
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 Therapy Clinic/Center
- Atlanta, GA
- NPI 1922018423
-
- Physical Therapist
- Atlanta, GA
- NPI 1245826999
-
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1538226840
GA, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Hixson, TN
- NPI 1922681360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1538847876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206",
"fax_number": "517-435-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 MARIETTA HWY STE 340",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300756751",
"telephone_number": "470-857-3604",
"fax_number": "470-777-4259"
}
],
"practiceLocations": [
{
"address_1": "5568 Claridge Cir",
"address_purpose": "LOCATION",
"city": "Lithonia",
"state": "GA",
"postal_code": "300381190",
"country_code": "US",
"telephone_number": "470-609-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MBA",
"first_name": "VALENTINE",
"middle_name": "K",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-07",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT016665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.