Individual provider Active NPI

Michelle Boyd

  • Physical Therapist
  • Bowling Green, KY
National Provider Identifier
1740699800
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007113 Issued in KY
Practice address
165 Natchez Trace Ave Ste 200
Bowling Green, KY 42103-7947
Phone
(270) 796-4698
NPI assigned
Aug 3, 2014
Sex
Female
Sole proprietor
No

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT011616 GA
Physical Therapist 225100000X 007113 KY Primary

Addresses

Primary practice location

165 Natchez Trace Ave Ste 200
Bowling Green, KY 42103-7947

Mailing address

201 Park Street
Bowling Green, KY 42101-1759
Phone (270) 796-4698

Other practice location 1

76 Highland Pavilion Ct
Suite Number 185
Hiram, GA 30141-3169
Phone (678) 384-0844

Other names 1

  • Michelle Terschan Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190730000531 GA Practitioner - Physical Therapist in Private Practice 2365713856 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Orthopedics, LLCGroup PAC ID 4385963172, 191 clinicians

Practice addresses (Care Compare)

3672 Marathon Cir
Suite 120
Austell, GA 30106-6821
Phone (678) 945-8551

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT011616GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Sports Rehabilitation Center CurrentSince Jun 9, 2019 Accepting new patients
Orthoatlanta, LLC Physical Therapist CurrentSince Sep 28, 2020 Accepting new patients
Piedmont Orthopedics, LLC CurrentSince Sep 28, 2020 Accepting new patients
Orthoatlanta, LLC Current Accepting new patients
Sandy Springs Physical Therapy LLC Physical Therapist CurrentSince Jun 6, 2019 Accepting new patients
Orthoatlanta, LLC CurrentSince Sep 28, 2020 Accepting new patients

Locations

555 10th St NW
Atlanta, GA 30318
Phone (404) 477-8888

3672 Marathon Cir
#200
Austell, GA 30106
Phone (770) 944-3303

3672 Marathon Cir
Ste 120
Austell, GA 30106
Phone (678) 945-8551

1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771

620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812

5290 Roswell Rd
Ste W
Sandy Springs, GA 30342
Phone (404) 477-5555

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/327/brand/1/csg/21/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740699800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK STREET",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011759",
            "telephone_number": "270-796-4698",
            "fax_number": "270-782-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 NATCHEZ TRACE AVE STE 200",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037947",
            "telephone_number": "270-796-4698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 Highland Pavilion Ct",
            "address_2": "Suite Number 185",
            "address_purpose": "LOCATION",
            "city": "Hiram",
            "state": "GA",
            "postal_code": "301413169",
            "country_code": "US",
            "telephone_number": "678-384-0844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011616",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "TERSCHAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bowling Green, KY

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.
  • 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.