Individual provider Active NPI

Eric Ross, DPT

  • Physical Therapist
  • Hapeville, GA
National Provider Identifier
1598359101
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015144 Issued in GA
Practice address
3580 Atlanta Ave
Hapeville, GA 30354-1706
Phone
(404) 768-3351
NPI assigned
Feb 24, 2021
Last updated
Feb 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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 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

LicenseStateTypeSpecialty
PT015144GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pro Performance Physical Therapy, LLC CurrentSince Feb 18, 2024 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.