Atlanta Physical Therapy

Key facts

NPI

1619456019

Entity type

Organization (NPI type 2)

Primary specialty

Physical Therapy Clinic/Center 261QP2000X

License

PT012845 (GA)

Legal business name

ATLANTA PHYSICAL THERAPY

Practice address

338 Hillcrest Ave Apt E
Decatur, GA 30030-2068

Phone

(404) 390-0255

NPI assigned

Aug 7, 2018

Organization subpart

No

Authorized official

Name

Dr. Nicholas Vernola Jr., PT, DPT, SDN

Title

Physical Therapist/Owner

Phone

(516) 480-8434

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 19, 2020.

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1619456019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 HILLCREST AVE APT E",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302068",
            "telephone_number": "404-390-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 HILLCREST AVE APT E",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302068",
            "telephone_number": "404-390-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "VERNOLA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "516-480-8434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT, DPT, SDN"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "PT012845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

• Atlanta Metro Cardiology
• Atlanta Midtown VA Clinic
• Atlanta Neurosurgical Associates, P.a.
• Atlanta Orthopaedic and Spine LLC
• Atlanta Personal Care, Inc.
• Atlanta Spine Specialists, LLC
• Atlanta Spine, PC
• Atlanta Surgical 1St Assist P.C.
• Atlanta Therapeutic Collective LLC
• Atlanta Upper Cervical Chiropractic LLC

All providers in Decatur, GA · Physical Therapy Clinic/Center in Georgia