Active NPI
Joyce B. Demestihas
- Physical Therapist
- Marietta, GA
National Provider Identifier
1750443891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT004352
- Practice address
- 3550 Knight Rd
Marietta, GA 30066-4424 - Phone
- (678) 644-5288
- NPI assigned
- Dec 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | PT004352 | GA | Primary |
Addresses
Primary practice location
3550 Knight Rd
Marietta, GA 30066-4424
Mailing address
3550 Knight Rd
Marietta, GA 30066-4424
Phone (678) 644-5288
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10034428 | Other | GA | AMERIGROUP |
| 249332394A | Other | GA | PEACH STATE HEALTH PLAN |
| 249332394A | Medicaid | GA | |
| 312512 | Other | GA | WELLCARE |
Other names 1
- Joyce Beth Feldman
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT004352 | GA | MD | Physical Therapist |
| 4352 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Therapy, Inc. | Physical Therapist | 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, 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": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750443891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 KNIGHT RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300664424",
"telephone_number": "678-644-5288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 KNIGHT RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300664424",
"telephone_number": "678-644-5288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMESTIHAS",
"first_name": "JOYCE",
"middle_name": "B.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT004352",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10034428",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEACH STATE HEALTH PLAN",
"identifier": "249332394A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "249332394A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "312512",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOYCE",
"last_name": "FELDMAN",
"middle_name": "BETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marietta, GA
- Delta Pointe Brokers & Consulting Firm USA Inc (Delta Pointe Counseling Center)
- Neha Delvadia
- Jaime Lynne Demchak, ATC
- Takele Tilaye Demesilassie, M.D.
- Nancy A Demester, PA
- Beverly A Demetrius, ED.D, RD, LD
- Mahmut Demirturk, MD
- Tracy Free Demontigny, O.D.
- Valeria Tancredo Demoura, NP
- Stephanie Denham
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.