Active NPI
Cheri Middleton Rourk
- Physical Therapist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT004679
- Practice address
- 2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309-1148 - Phone
- (770) 443-4483
- Fax
- (770) 443-4410
- NPI assigned
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT004679 | GA | Primary |
Addresses
Primary practice location
2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309-1148
Mailing address
2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309-1148
Phone (770) 443-4483
Other names 1
- Cheri M Middleton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2340 Clifton Springs Rd
Decatur, GA 30034-2910
Phone (404) 846-0899
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT004679 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Life Clinic of Ga PC | Physical Therapist | Past | Accepting new patients |
Locations
855 North Point Pkwy
Alpharetta, GA 30005
Phone (952) 401-2336
915 Hawthorne Ave
Athens, GA 30606
3353 Peachtree Rd NE
Ste T01
Atlanta, GA 30326
Phone (404) 285-6200
2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309
2340 Clifton Springs Rd
Decatur, GA 30034
5342 Tilly Mill Rd
Dunwoody, GA 30338
Phone (678) 812-4031
11555 Johns Creek Pkwy
Johns Creek, GA 30097
Phone (770) 495-7800
1063 Rockbridge Rd
Stone Mountain, GA 30087
14200 Highway 92
Woodstock, GA 30188
Phone (677) 819-7658
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Atlanta, GA
- NPI 1326247248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1619176534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 PEACHTREE RD NE",
"address_2": "STE D336",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091148",
"telephone_number": "770-443-4483",
"fax_number": "770-443-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 PEACHTREE RD NE",
"address_2": "STE D336",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091148",
"telephone_number": "770-443-4483",
"fax_number": "770-443-4410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROURK",
"first_name": "CHERI",
"middle_name": "MIDDLETON",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2008-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT004679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHERI",
"last_name": "MIDDLETON",
"middle_name": "M",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.