Individual provider Active NPI

Anthony A Kiss, PT

  • Physical Therapist
  • Lawrenceville, GA
National Provider Identifier
1629195037
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8053 Issued in GA
Practice address
860 Duluth Hwy
Ste 1600
Lawrenceville, GA 30043-5326
Phone
(972) 725-6673
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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 8053 GA Primary

Addresses

Primary practice location

860 Duluth Hwy
Ste 1600
Lawrenceville, GA 30043-5326

Mailing address

5080 Spectrum Dr
Suite 1200 W
Addison, TX 75001-4648
Phone (972) 725-6673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8053GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Occupational Health Centers of Georgia Past Accepting new patients
Occupational Health Centers of Georgia PC Past Accepting new patients
Occupational Health Centers of Georgia, P.C. Past Accepting new patients
Occupational Health Centers of Georgia PC Past Accepting new patients
Occupational Health Centers of Georgia, P.C. Past Accepting new patients
Occupational Health Centers of Georgia PC Past Accepting new patients
Occupational Health Centers of Georgia PC Past Accepting new patients

Organizations & group practices 7

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1629195037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR",
            "address_2": "SUITE 1200 W",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014648",
            "telephone_number": "972-725-6673",
            "fax_number": "214-775-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 DULUTH HWY",
            "address_2": "STE 1600",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435326",
            "telephone_number": "972-725-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISS",
        "first_name": "ANTHONY",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "8053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.