Active NPI
Carol O'Regan
- Physical Therapist
- Atlanta, GA
National Provider Identifier
1770768277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT008031
- Practice address
- 1821 Clifton Rd NE
Atlanta, GA 30329-4021 - Phone
- (404) 472-8458
- Fax
- (404) 728-4931
- NPI assigned
- Jan 2, 2008
- 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 | PT008031 | GA | Primary |
Addresses
Primary practice location
1821 Clifton Rd NE
Atlanta, GA 30329-4021
Mailing address
429 Sycamore Dr
Decatur, GA 30030-2743
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 |
|---|---|---|---|
| PT008031 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199232000000",
"number": "1770768277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 SYCAMORE DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303294021",
"telephone_number": "404-472-8458",
"fax_number": "404-728-4931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'REGAN",
"first_name": "CAROL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-02",
"last_updated": "2008-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008031",
"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 Jan 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.