Individual provider Active NPI

Thierry Urbain, P.T.

  • Physical Therapist
  • Dalton, GA
National Provider Identifier
1568584357
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3733 Issued in GA
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

Updated by the provider on Oct 2, 2008

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 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

Enrollment IDStateProvider typePAC IDDetails
I20090506000111 GA Practitioner - Physical Therapist in Private Practice 0648328468 Reassigns benefits to 1 organization

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
Associates in Orthopedics and Sports Medicine PCGroup PAC ID 4284624446, 15 clinicians

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 100Reported as group
Quality
62.21
Promoting interoperability
99
Improvement activities
40
Cost
83.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3733GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Orthopedics & Sports Medicine PC CurrentSince Jan 22, 2009 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.

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.

Verify at the official NPI Registry.