Active NPI
Eric Ross, DPT
- Physical Therapist
- Hapeville, GA
National Provider Identifier
1598359101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015144
- Practice address
- 3580 Atlanta Ave
Hapeville, GA 30354-1706 - Phone
- (404) 768-3351
- NPI assigned
- Feb 24, 2021
- Last updated
- Feb 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | PT015144 | GA | Primary |
Addresses
Primary practice location
3580 Atlanta Ave
Hapeville, GA 30354-1706
Mailing address
303 Haygood Ave
Oxford, GA 30054-2241
Phone (404) 786-1249
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 |
|---|---|---|---|
| PT015144 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro Performance Physical Therapy, LLC | Current | Accepting new patients | |
| Occupational Health Centers of Georgia, P.C. | Past | Accepting new patients | |
| Occupational Health Centers of Georgia, P.C. | Past | Accepting new patients | |
| Occupational Health Centers of Georgia PC | Past | Accepting new patients | |
| Occupational Health Centers of Georgia PC | Past | Accepting new patients | |
| Occupational Health Centers of Georgia PC | Past | Accepting new patients | |
| Occupational Health Centers of Georgia | Past | Accepting new patients |
Interoperability endpoints
- eric.ross.1@15749.direct.athenahealth.com
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.
-
- Physical Therapy Clinic/Center
- Conyers, GA
- NPI 1609630391
-
dba Concentra Medical Center
- Occupational Medicine Clinic/Center
- Marietta, GA
- NPI 1306855838
-
dba Concentra Medical Centers
- Occupational Medicine Clinic/Center
- Norcross, GA
- NPI 1316956956
-
dba Concentra Medical Center
- Occupational Medicine Clinic/Center
- Morrow, GA
- NPI 1417296948
-
dba Concentra Medical Center
- Occupational Medicine Clinic/Center
- Decatur, GA
- NPI 1083180731
-
dba Concentra Medical Center
- Occupational Medicine Clinic/Center
- Johns Creek, GA
- NPI 1215373923
-
dba Concentra Medical Centers
- Occupational Medicine Clinic/Center
- Addison, TX
- NPI 1760521520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1598359101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 HAYGOOD AVE",
"city": "OXFORD",
"state": "GA",
"postal_code": "300542241",
"telephone_number": "404-786-1249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 ATLANTA AVE",
"city": "HAPEVILLE",
"state": "GA",
"postal_code": "303541706",
"telephone_number": "404-768-3351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-24",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT015144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hapeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.