Organization Active NPI

Cross My Heart Physical Therapy

  • Physical Therapist
  • Fayetteville, GA
National Provider Identifier
1619037165
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4808 Issued in GA
Legal business name
CROSS MY HEART PHYSICAL THERAPY
Practice address
1260 Highway 54 W
Suite 101
Fayetteville, GA 30214-4514
Phone
(404) 392-7110
NPI assigned
Dec 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Karen BarberNPI 1790713279
Title
Physical Therapist
Phone
(404) 392-7110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4808 GA Primary

Addresses

Primary practice location

1260 Highway 54 W
Suite 101
Fayetteville, GA 30214-4514

Mailing address

PO Box 877
Sharpsburg, GA 30277-0877
Phone (404) 392-7110

Other identifiers 2

IdentifierTypeStateIssuer
P00267638OtherGARAILROAD MEDICARE
52672107004OtherGABLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1260 Highway 54 W
Ste 101
Fayetteville, GA 30214
Phone (770) 460-4644

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619037165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 877",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302770877",
            "telephone_number": "404-392-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 HIGHWAY 54 W",
            "address_2": "SUITE 101",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144514",
            "telephone_number": "404-392-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS MY HEART PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "404-392-7110",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "4808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00267638",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52672107004",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.