Active NPI
Brian Sickorez, PT
- Physical Therapist
- Atlanta, GA
National Provider Identifier
1730190620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008535
- Practice address
- 550 Peachtree St NE
Suite 1820
Atlanta, GA 30308-2247 - Phone
- (404) 589-1800
- Fax
- (404) 589-1888
- NPI assigned
- Aug 10, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008535 | GA | Primary |
Addresses
Primary practice location
550 Peachtree St NE
Suite 1820
Atlanta, GA 30308-2247
Mailing address
550 Peachtree St NE
Suite 1820
Atlanta, GA 30308-2247
Phone (404) 589-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060110000098 | MA | Practitioner - Physical Therapist in Private Practice | 1153344700 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
200 Providence Hwy
Dedham, MA 02026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13042 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drac PT Inc | Physical Therapist | Current | Accepting new patients |
| Drac Physical Therapy, Inc. | Current | Accepting new patients | |
| River City Physical Therapy | Physical Therapist | Past | Accepting new patients |
| United Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Fitness Forum of Georgia | Physical Therapist | Past | Accepting new patients |
| Georgia Pain Physicians PC | Past | Accepting new patients |
Locations
200 Vfw Pkwy
Dedham, MA 02026
Phone (781) 326-1464
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.
-
- Occupational Therapist
- Dedham, MA
- NPI 1730497538
-
- Physical Therapist
- Dedham, MA
- NPI 1285730713
-
- Physical Therapist
- Atlanta, GA
- NPI 1427127778
-
- Pain Medicine Physician
- Calhoun, GA
- NPI 1811320229
-
- Physical Therapist
- Columbus, GA
- NPI 1104834902
-
- Physical Therapist
- Malden, MA
- NPI 1295779981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730190620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"address_2": "SUITE 1820",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082247",
"telephone_number": "404-589-1800",
"fax_number": "404-589-1888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"address_2": "SUITE 1820",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082247",
"telephone_number": "404-589-1800",
"fax_number": "404-589-1888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SICKOREZ",
"first_name": "BRIAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008535",
"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 Jul 8, 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.