Individual provider Active NPI

Robert Tate

  • Physical Therapist
  • McDonough, GA
National Provider Identifier
1578916938
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
012349 Issued in GA
Practice address
234 Jonesboro Rd
McDonough, GA 30253-3720
Phone
(770) 954-9631
NPI assigned
Jul 20, 2016
Last updated
Jul 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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 012349 GA Primary

Addresses

Primary practice location

234 Jonesboro Rd
McDonough, GA 30253-3720

Mailing address

234 Jonesboro Rd
McDonough, GA 30253-3720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170406001896 GA Practitioner - Physical Therapist in Private Practice 1557647526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Orthopedics, LLCGroup PAC ID 4385963172, 191 clinicians

Practice addresses (Care Compare)

1265 Hwy 54 W
Suite 102
Fayetteville, GA 30214-4537
Phone (770) 460-1900

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012349GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Orthopedics, LLC CurrentSince Jan 15, 2020 Accepting new patients
Orthoatlanta, LLC CurrentSince Apr 10, 2017 Accepting new patients
Orthoatlanta, LLC Current Accepting new patients
Orthoatlanta, LLC Physical Therapist CurrentSince Apr 10, 2017 Accepting new patients
Matrix Rehabilitation-Georgia Inc Past Accepting new patients
Orthoatlanta, LLC Past Accepting new patients
Matrix Rehabilitation-Georgia Inc PastSince Oct 6, 2024 Accepting new patients

Locations

105 Collier Rd NW
Ste 2000
Atlanta, GA 30309
Phone (404) 350-1122

900 Circle 75 Pkwy SE
Ste 1700
Atlanta, GA 30339
Phone (770) 953-6929

1265 Highway 54 W
Ste 102
Fayetteville, GA 30214
Phone (770) 460-1900

1265 Highway 54 W
Ste 200
Fayetteville, GA 30214
Phone (404) 785-8790

1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771

620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4

Organizations & group practices 7

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": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1578916938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 JONESBORO RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 JONESBORO RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533720",
            "telephone_number": "770-954-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "012349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.