Active NPI
Sara Elizabeth Bowers Tintle, DPT
- Physical Therapist
- Atlanta, GA
National Provider Identifier
1578808812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT009685
- Practice address
- 5775 Glenridge Dr
Atlanta, GA 30328-5380 - Phone
- (404) 215-6000
- NPI assigned
- Nov 27, 2012
- Last updated
- Jun 3, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT009685 | GA | Primary |
Addresses
Primary practice location
5775 Glenridge Dr
Atlanta, GA 30328-5380
Mailing address
3744 Plumcrest Rd SE
Atlanta, GA 30328-5380
Phone (404) 247-1167
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Clinic of Ga PC | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1578808812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3744 PLUMCREST RD SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285380",
"telephone_number": "404-247-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 GLENRIDGE DR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285380",
"telephone_number": "404-215-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWERS TINTLE",
"first_name": "SARA",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-27",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT009685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.