Active NPI
Thierry Urbain, P.T.
- Physical Therapist
- Dalton, GA
National Provider Identifier
1568584357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3733
- Practice address
- 1104 Professional Blvd
Dalton, GA 30720-2588 - Phone
- (706) 226-5533
- Fax
- (706) 428-0033
- NPI assigned
- Apr 4, 2007
- 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 | 3733 | GA | Primary |
Addresses
Primary practice location
1104 Professional Blvd
Dalton, GA 30720-2588
Mailing address
113 Davidson Dr
Dalton, GA 30720-4012
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, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 Cleo Way
Suite 100
Dalton, GA 30720-8442
Phone (706) 226-5533
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.44 of 100
- Quality
- 62.21
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 83.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3733 | GA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Orthopedics & Sports Medicine PC | Current | Accepting new patients |
Locations
1104 Professional Blvd
Dalton, GA 30720
Phone (706) 226-5533
1300 Cleo Way
Ste 100
Dalton, GA 30720
Phone (706) 226-5533
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Dalton, GA
- NPI 1871655167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222905600000",
"number": "1568584357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 DAVIDSON DR",
"city": "DALTON",
"state": "GA",
"postal_code": "307204012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 PROFESSIONAL BLVD",
"city": "DALTON",
"state": "GA",
"postal_code": "307202588",
"telephone_number": "706-226-5533",
"fax_number": "706-428-0033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBAIN",
"first_name": "THIERRY",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2008-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "3733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.