Individual provider Active NPI

Erica Archie

  • Physical Therapist
  • Decatur, AL
National Provider Identifier
1609467612
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH11031 Issued in AL
Practice address
1241 PT Mallard Pkwy Ste 201
Decatur, AL 35601-6555
Phone
(256) 350-9750
NPI assigned
Feb 2, 2021
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH015140 GA
Physical Therapist 225100000X PTH11031 AL Primary

Addresses

Primary practice location

1241 PT Mallard Pkwy Ste 201
Decatur, AL 35601-6555

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424

Other practice location 1

80 Seven Hills Blvd Ste 107
Dallas, GA 30132-0575
Phone (678) 402-0515

Other practice location 2

2215 Decatur Hwy Ste 125
Gardendale, AL 35071-2385
Phone (205) 285-8790

Other practice location 3

210 Fieldstown Rd Ste 108
Gardendale, AL 35071-2418
Phone (205) 285-2180

Other practice location 4

7951 Villa Rica Hwy Ste 117
Dallas, GA 30157-8667
Phone (470) 977-3310

Other practice location 5

2295 Towne Lake Pkwy Ste 148
Woodstock, GA 30189-5520
Phone (770) 926-2744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221111000300 AL Practitioner - Physical Therapist in Private Practice 0840667432 Reassigns benefits to 3 organizations
I20240328001149 GA Practitioner - Physical Therapist in Private Practice 0840667432 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH015140GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy-Alabama, LLC Physical Therapist CurrentSince Sep 26, 2022 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Oct 16, 2023 Accepting new patients
Drayer Physical Therapy Alabama LLC CurrentSince Sep 26, 2022 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Feb 28, 2023 Accepting new patients
Benchmark Physical Therapy of Alabama, LLC Physical Therapist CurrentSince Mar 10, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Oct 16, 2023 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Feb 28, 2023 Accepting new patients
Kennestone Hospital, Inc PastSince Feb 1, 2021 Accepting new patients

Locations

2900 E University Dr
Ste 130
Auburn, AL 36830
Phone (334) 209-0996

153 Narrows Pkwy
Ste 101
Birmingham, AL 35242
Phone (205) 640-4881

1241 Point Mallard Pkwy
Ste 201
Decatur, AL 35601
Phone (256) 350-9750

210 Fieldstown Rd
Ste 108
Gardendale, AL 35071
Phone (205) 285-2180

2215 Decatur Hwy
Ste 125
Gardendale, AL 35071
Phone (205) 285-8790

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

4601 Whitesburg Dr SE
Ste 102
Huntsville, AL 35802
Phone (256) 883-1734

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

7951 Villa Rica Hwy
Ste 117
Dallas, GA 30157
Phone (470) 977-3310

1155 Concord Rd SE
Ste 210
Smyrna, GA 30080
Phone (678) 293-0250

2295 Towne Lake Pkwy
Ste 148
Woodstock, GA 30189
Phone (770) 926-2744

Organizations & group practices 8

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": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1609467612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 PT MALLARD PKWY STE 201",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016555",
            "telephone_number": "256-350-9750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Seven Hills Blvd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "GA",
            "postal_code": "301320575",
            "country_code": "US",
            "telephone_number": "678-402-0515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2215 Decatur Hwy Ste 125",
            "address_purpose": "LOCATION",
            "city": "Gardendale",
            "state": "AL",
            "postal_code": "350712385",
            "country_code": "US",
            "telephone_number": "205-285-8790",
            "fax_number": "205-285-8791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Fieldstown Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Gardendale",
            "state": "AL",
            "postal_code": "350712418",
            "country_code": "US",
            "telephone_number": "205-285-2180",
            "fax_number": "205-285-2181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7951 Villa Rica Hwy Ste 117",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "GA",
            "postal_code": "301578667",
            "country_code": "US",
            "telephone_number": "470-977-3310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2295 Towne Lake Pkwy Ste 148",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301895520",
            "country_code": "US",
            "telephone_number": "770-926-2744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCHIE",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PTH015140",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.