North Fulton Physical Therapy and Sports Medicine, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

NORTH FULTON PHYSICAL THERAPY AND SPORTS MEDICINE, INC.

Practice address

1750 Founders Pkwy Ste 126
Alpharetta, GA 30009-7600

Phone

(770) 442-0727

Fax

(770) 343-9607

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Malynda Copeland, LPN

Title

Operations Manager

Phone

(770) 442-0727

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Outpatient physical therapy / speech pathology certification: CCN 116603

Legal name

NORTH FULTON PHYSICAL THERAPY & SPORTS MED

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Jul 26, 1988

Last certification

Aug 24, 2023

Ownership / control type

Proprietary

Facility address

1750 Founders Pkwy,Suite 126
Alpharetta, GA 30009

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Gimbel, DPT

  • Physical Therapist
  • Alpharetta, GA
  • NPI 1033548003
  NPD
• Marcee Danielle Keith, DPT

  • Physical Therapist
  • Alpharetta, GA
  • NPI 1578237954
  NPD
• Matthew Richmond Laudel, PT, DPT

  • Physical Therapist
  • Alpharetta, GA
  • NPI 1053890459

  Sports Medicine

  NPD
• David B Young, P.T.

  • Physical Therapist
  • Roswell, GA
  • NPI 1952590614
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1669529905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 FOUNDERS PKWY STE 126",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097600",
            "telephone_number": "770-442-0727",
            "fax_number": "770-343-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 FOUNDERS PKWY STE 126",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097600",
            "telephone_number": "770-442-0727",
            "fax_number": "770-343-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FULTON PHYSICAL THERAPY AND SPORTS MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "MALYNDA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "770-442-0727",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Atlanta Spine, PC
• North Crescent Surgery Center, L.L.C.
• North Fulton Counseling, Inc.
• North Fulton OB-GYN, P.C.
• North Fulton Pharmacy LLC
• North Fulton Primary Care - Windward Parkway, LLC
• North Fulton Primary Care Associates, LLC
• North Fulton Psychological Services, Inc.
• North Fulton Psychotherapy Associates, LTD.
• North Fulton Regional Health Center

• Physical Therapist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.