Individual provider Active NPI

Samera M Eckl, PT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1649614629
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT003643 Issued in GA
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

Updated by the provider on Apr 22, 2013

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 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

OrganizationSpecialtyStatusNew patients
Integrated Therapy LLC Physical Therapist CurrentSince Jan 1, 2011 Accepting new patients
Life Clinic of Ga PC Physical Therapist PastSince Dec 3, 2022 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.

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.

Verify at the official NPI Registry.