Advanta Medical & Physical Therapy PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ADVANTA MEDICAL & PHYSICAL THERAPY PC

Doing business as

Advanta Total Health

Practice address

1720 Powers Ferry Rd
Suite 100
Marietta, GA 30067-5442

Phone

(770) 955-2225

Fax

(770) 953-6658

NPI assigned

Sep 13, 2011

Last updated

Nov 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Philip Schuyler I, D. C.

Title

President

Phone

(770) 955-2225

Specialties & licenses 4

Addresses

Other names 1

• Advanta Total Health Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas J Federico, MD

  • Family Medicine Physician
  • Woodstock, GA
  • NPI 1114035243
  NPD

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1609158096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 POWERS FERRY RD",
            "address_2": "SUITE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675442",
            "telephone_number": "770-955-2225",
            "fax_number": "770-953-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 POWERS FERRY RD",
            "address_2": "SUITE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675442",
            "telephone_number": "770-955-2225",
            "fax_number": "770-953-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTA MEDICAL & PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "SCHUYLER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-955-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanta Total Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.