Active NPI
Monique Simmons Dillard, PT
- Physical Therapist
- Ellenwood, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2838 E Atlanta Rd Ste 2
Ellenwood, GA 30294-2780 - Phone
- (678) 782-3609
- NPI assigned
- Apr 10, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1171163 | TX | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2838 E Atlanta Rd Ste 2
Ellenwood, GA 30294-2780
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Other practice location 1
3007 Panola Rd Ste C
Lithonia, GA 30038-2492
Phone (770) 987-1122
Other practice location 2
12602 Bethany Bay Dr
Pearland, TX 77584-7820
Phone (832) 215-0501
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1365 C Clifton Rd NE
Atlanta, GA 30322-1013
Phone (470) 870-8260
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4496 | LA | MD | Reflexologist |
| 1171163 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Esop Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Esop Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Drayer Physical Therapy Georgia LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1365 Clifton Rd NE
Ste C1012
Atlanta, GA 30322
Phone (470) 870-8260
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
875 Flat Shoals Rd SE
Ste 150
Conyers, GA 30094
Phone (770) 785-7669
7201 Turner Lake Rd NW
Ste 13
Covington, GA 30014
Phone (470) 444-1609
2838 E Atlanta Rd
Ste 2
Ellenwood, GA 30294
Phone (678) 782-3609
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
3007 Panola Rd
Ste C
Lithonia, GA 30038
Phone (770) 987-1122
3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
Organizations & group practices 7
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.
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1164182333
Physical Therapist
-
- Physical Therapy Clinic/Center
- Duluth, GA
- NPI 1083666903
-
- Physical Therapist
- Loganville, GA
- NPI 1962830406
-
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
-
- Physical Therapist
- Riverdale, GA
- NPI 1427000777
-
- Physical Therapy Clinic/Center
- Conyers, GA
- NPI 1811319023
Physical Therapist
-
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705276800000",
"number": "1790908572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2838 E ATLANTA RD STE 2",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302942780",
"telephone_number": "678-782-3609"
}
],
"practiceLocations": [
{
"address_1": "3007 Panola Rd Ste C",
"address_purpose": "LOCATION",
"city": "Lithonia",
"state": "GA",
"postal_code": "300382492",
"country_code": "US",
"telephone_number": "770-987-1122",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12602 Bethany Bay Dr",
"address_purpose": "LOCATION",
"city": "Pearland",
"state": "TX",
"postal_code": "775847820",
"country_code": "US",
"telephone_number": "832-215-0501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DILLARD",
"first_name": "MONIQUE",
"middle_name": "SIMMONS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2024-01-15",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1171163",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellenwood, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.