Michael Vily Markovich, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT010756 Issued in GA

Practice address

3945 Holcomb Bridge Rd
Suite 100
Norcross, GA 30092-5252

Phone

(770) 840-8046

Fax

(770) 840-8146

NPI assigned

Aug 10, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1679820484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 BRIARHILL LN NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245421",
            "telephone_number": "954-871-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 HOLCOMB BRIDGE RD",
            "address_2": "SUITE 100",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300925252",
            "telephone_number": "770-840-8046",
            "fax_number": "770-840-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOVICH",
        "first_name": "MICHAEL",
        "middle_name": "VILY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Thien Tuong Manela, DDS
• Michael Mangonon, D.O.
• Deonna Mapp
• Susan Christine Margletta, MD
• Marie C. Schweinebraten, Dmdpc
• Lawrence Matthew Marra, DDS
• Aruna Marri, APRN
• Cynthia Martin, LAMFT
• Kimberly Marie Martinez
• Yannely Elena Martinez, N.P

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.