Individual provider Active NPI

Susan Hughes Bush, DPT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1730598863
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010237 Issued in GA
Practice address
5775 Glenridge Dr Ste E200
Atlanta, GA 30328-7294
Phone
(404) 215-6000
NPI assigned
Aug 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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 PT010237 GA Primary

Addresses

Primary practice location

5775 Glenridge Dr Ste E200
Atlanta, GA 30328-7294

Mailing address

4159 Brawley Dr NE
Brookhaven, GA 30319-1716

Other practice location 1

2770 Lenox Rd NE
Suite 102
Atlanta, GA 30324-6006
Phone (404) 364-9551

Other practice location 2

4805 Meadow Park Ln
Suwanee, GA 30024-7325
Phone (803) 622-2914

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT010237GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1406937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1730598863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4159 BRAWLEY DR NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303191716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 GLENRIDGE DR STE E200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303287294",
            "telephone_number": "404-215-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2770 Lenox Rd NE",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303246006",
            "country_code": "US",
            "telephone_number": "404-364-9551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4805 Meadow Park Ln",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300247325",
            "country_code": "US",
            "telephone_number": "803-622-2914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSH",
        "first_name": "SUSAN",
        "middle_name": "HUGHES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-02",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010237",
            "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 Nov 6, 2020; 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.