Active NPI
Timothy Daniel Hourigan, PTA
- Physical Therapy Assistant
- Atlanta, GA
National Provider Identifier
1598123069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA003582
- Practice address
- 1995 N Park PL SE
Suite 410
Atlanta, GA 30339-7801 - Phone
- (770) 850-0390
- Fax
- (770) 818-9762
- NPI assigned
- Jan 29, 2016
- 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 Therapy Assistant | 225200000X | PTA003582 | GA | Primary |
Addresses
Primary practice location
1995 N Park PL SE
Suite 410
Atlanta, GA 30339-7801
Mailing address
588 Golf Crest Dr
Acworth, GA 30101-5985
Phone (770) 841-0880
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA003582 | GA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454025600000",
"number": "1598123069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "588 GOLF CREST DR",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301015985",
"telephone_number": "770-841-0880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1995 N PARK PL SE",
"address_2": "SUITE 410",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303397801",
"telephone_number": "770-850-0390",
"fax_number": "770-818-9762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOURIGAN",
"first_name": "TIMOTHY",
"middle_name": "DANIEL",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-29",
"last_updated": "2016-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA003582",
"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 Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.