Dana A Peterman, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003654 Issued in GA

Practice address

109 Martin Luther King Jr Dr
Forsyth, GA 31029-1689

Phone

(478) 994-3390

Fax

(478) 994-3389

NPI assigned

May 1, 2007

Last updated

Mar 5, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healing Arts Physical TherapyGroup PAC ID 0547347817, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healing Arts Physical Therapy

  dba Monroe Physical Therapy

  • Physical Therapist
  • Forsyth, GA
  • NPI 1659552461
  Medicare reassignment Care Compare group NPD Authorized official
• Dialysis Center of Forsyth LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Forsyth, GA
  • NPI 1982125142
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1609097500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MARTIN LUTHER KING JR DR",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310291689",
            "telephone_number": "478-994-3390",
            "fax_number": "478-994-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MARTIN LUTHER KING JR DR",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310291689",
            "telephone_number": "478-994-3390",
            "fax_number": "478-994-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERMAN",
        "first_name": "DANA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "003654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Render Terrell Parham Jr., RPH
• Bhargav Patel, PHARMD.
• Pavankumar K Patel, NURSE PRACTITIONER
• Peachy Speechworks of Central Ga
• Thomas Bush Perry, O.D.
• Chelsea Powell, APRN, FNP-BC
• Pruitthealth - Forsyth, LLC (PruittHealth - Forsyth)
• Pruitthealth - Monroe, LLC (PruittHealth - Monroe)
• Kristen Joyce Puzio, MA
• PWT Enterprises, Inc. (MedPro EMS)

• Physical Therapist in Forsyth, GA
• Providers in Forsyth, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.