Active NPI
Samera M Eckl, PT
- Physical Therapist
- Atlanta, GA
National Provider Identifier
1649614629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT003643
- Practice address
- 2221 Peachtree Rd NE
Ste D 336
Atlanta, GA 30309-1106 - Phone
- (404) 846-0899
- NPI assigned
- Apr 22, 2013
- 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 | PT003643 | GA | Primary |
Addresses
Primary practice location
2221 Peachtree Rd NE
Ste D 336
Atlanta, GA 30309-1106
Mailing address
2221 Peachtree Rd NE
Ste D 336
Atlanta, GA 30309-1106
Phone (404) 846-0899
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)
- Enrolled
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
3353 Peachtree Rd NE
Ste T01
Atlanta, GA 30326
Phone (404) 285-6200
2859 Paces Ferry Rd SE
Ste 200
Atlanta, GA 30339
2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309
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": "1366588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366588800000",
"number": "1649614629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2221 PEACHTREE RD NE",
"address_2": "STE D 336",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091106",
"telephone_number": "404-846-0899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2221 PEACHTREE RD NE",
"address_2": "STE D 336",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091106",
"telephone_number": "404-846-0899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKL",
"first_name": "SAMERA",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-22",
"last_updated": "2013-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT003643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.