Individual provider Active NPI

Abigail Elizabeth Marcinkovich, PT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1710919196
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
365 Peachtree Hills Ave NE
Suite 201
Atlanta, GA 30305-4531
Phone
(404) 355-8066
NPI assigned
Jul 7, 2006
Last updated
Dec 21, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 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 NU Primary

Addresses

Primary practice location

365 Peachtree Hills Ave NE
Suite 201
Atlanta, GA 30305-4531

Mailing address

8259 Wicker Ave
Saint John, IN 46373-8878
Phone (219) 365-6553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040315000374 GA Practitioner - Physical Therapist in Private Practice 6103715347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Orthopaedic Clinic PAGroup PAC ID 4587552963, 138 clinicians

Practice addresses (Care Compare)

2001 Peachtree Rd NE
Suite 705
Atlanta, GA 30309-1476
Phone (404) 355-0743

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Orthopaedic Clinic, P.a. Physical Therapist CurrentSince Mar 14, 2006 Accepting new patients
Peachtree Orthopaedic Clinic CurrentSince Mar 14, 2006 Accepting new patients
Peachtree Orthopaedic Clinic PA Physical Therapist Current Accepting new patients
Atlanta Rehabilitation and Performance Center Past Accepting new patients
Peachtree Orthopaedic Clinic P.a. Physical Therapist Past Accepting new patients
Atlanta Rehabilitation and Performance Center PastSince Jun 16, 2003 Accepting new patients

Locations

2001 Peachtree Rd NE
Ste 705
Atlanta, GA 30309

2045 Peachtree Rd NE
Ste 600
Atlanta, GA 30309
Phone (404) 355-8066

365 Peachtree Hills Ave NE
Ste 201
Atlanta, GA 30305
Phone (404) 355-8066

5505 Peachtree Dunwoody Rd
Ste 250
Sandy Springs, GA 30342
Phone (404) 250-1216

5505 Peachtree Dunwoody Rd
Ste 590
Sandy Springs, GA 30342

5505 Ptree Dunwoody Rd NE
Sandy Springs, GA 30342
Phone (404) 256-1400

Interoperability endpoints

  • Direct secure messaging: abigail.marcinkovich.1@8474.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1710919196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8259 WICKER AVE",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463738878",
            "telephone_number": "219-365-6553",
            "fax_number": "219-365-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 PEACHTREE HILLS AVE NE",
            "address_2": "SUITE 201",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303054531",
            "telephone_number": "404-355-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCINKOVICH",
        "first_name": "ABIGAIL",
        "middle_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "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 Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.