Individual provider Active NPI

Herbert Leonard Silver, PT, DSC, OCS, MBA

  • Physical Therapist
  • Marietta, GA
National Provider Identifier
1720061062
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
002299 Issued in GA
Practice address
880 Canton Rd NE Ste 100
Marietta, GA 30060-7283
Phone
(770) 792-7522
Fax
(770) 792-7508
NPI assigned
Nov 21, 2005
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 002299 GA Primary

Addresses

Primary practice location

880 Canton Rd NE Ste 100
Marietta, GA 30060-7283

Mailing address

880 Canton Rd NE Ste 100
Marietta, GA 30060-7283
Phone (770) 792-7522

Other practice location 1

32 Irby Ave NW
Atlanta, GA 30305-1808
Phone (770) 792-7522

Other practice location 2

32 Irby Ave NW
Atlanta, GA 30305-1808
Phone (770) 792-7522

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
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
002299GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Business Intelligence Technology Past Accepting new patients

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, 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": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720061062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 CANTON RD NE STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607283",
            "telephone_number": "770-792-7522",
            "fax_number": "770-792-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 CANTON RD NE STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607283",
            "telephone_number": "770-792-7522",
            "fax_number": "770-792-7508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Irby Ave NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303051808",
            "country_code": "US",
            "telephone_number": "770-792-7522",
            "fax_number": "770-792-7508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32 Irby Ave NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303051808",
            "country_code": "US",
            "telephone_number": "770-792-7522",
            "fax_number": "770-792-7508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVER",
        "first_name": "HERBERT",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "PT, DSC, OCS, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "002299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.