Individual provider Active NPI

Cheri Middleton Rourk

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1619176534
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004679 Issued in GA
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

Updated by the provider on May 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071024000556 GA Practitioner - Physical Therapist in Private Practice 8921195850 Reassigns benefits to 1 organization

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
Integrated Therapy LLCGroup PAC ID 1153317300, 48 clinicians

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

LicenseStateTypeSpecialty
PT004679GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Therapy LLC Physical Therapist CurrentSince Feb 1, 2007 Accepting new patients
Life Clinic of Ga PC Physical Therapist PastSince Feb 7, 2022 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.

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.

Verify at the official NPI Registry.