Active NPI
Alice Pfeiffer Nix, P.T.
- Physical Therapist
- Marietta, GA
National Provider Identifier
1740365725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 784
- Practice address
- 3939 Roswell Rd
Suite 160
Marietta, GA 30062-6251 - Phone
- (770) 971-5244
- Fax
- (770) 973-0586
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- 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 | 784 | GA | Primary |
Addresses
Primary practice location
3939 Roswell Rd
Suite 160
Marietta, GA 30062-6251
Mailing address
3939 Roswell Rd
Suite 160
Marietta, GA 30062-6251
Phone (770) 971-5244
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 784 | Other | GA | STATE LICENSE # |
| 00371874B | Medicaid | GA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000784 | GA | MD | Optometrist |
| 784 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Cobb Hand Therapy LLC | 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.
-
- Hand Occupational Therapist
- Marietta, GA
- NPI 1407986169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740365725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3939 ROSWELL RD",
"address_2": "SUITE 160",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300626251",
"telephone_number": "770-971-5244",
"fax_number": "770-973-0586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3939 ROSWELL RD",
"address_2": "SUITE 160",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300626251",
"telephone_number": "770-971-5244",
"fax_number": "770-973-0586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIX",
"first_name": "ALICE",
"middle_name": "PFEIFFER",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "784",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "784",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00371874B",
"state": "GA"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.