Active NPI
Amandeep Kaur Deol, P.T.
- Orthopedic Physical Therapist
- Woodstock, GA
National Provider Identifier
1811933294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT008130
- Practice address
- 120 Stonebridge Pkwy
Suite 100
Woodstock, GA 30189-3767 - Phone
- (770) 926-6520
- Fax
- (770) 926-1359
- NPI assigned
- Jun 22, 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT008130 | GA | Primary |
Addresses
Primary practice location
120 Stonebridge Pkwy
Suite 100
Woodstock, GA 30189-3767
Mailing address
4277 Moccasin TRL
Woodstock, GA 30189-4852
Phone (770) 926-6520
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52704315004 | Other | GA | BCBS DOUGLASVILLE LOCATIO |
| 52704315002 | Other | GA | BCBS MARIETTA LOCATION |
| 52704315003 | Other | GA | BCBS AUSTELL LOCATION |
| 5274315001 | Other | GA | BCBS WOODSTOCK LOCATION |
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 |
|---|---|---|---|
| PT008130 | GA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238457600000",
"number": "1811933294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4277 MOCCASIN TRL",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301894852",
"telephone_number": "770-926-6520",
"fax_number": "770-926-1359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 STONEBRIDGE PKWY",
"address_2": "SUITE 100",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301893767",
"telephone_number": "770-926-6520",
"fax_number": "770-926-1359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEOL",
"first_name": "AMANDEEP",
"middle_name": "KAUR",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2009-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "GA",
"license": "PT008130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS DOUGLASVILLE LOCATIO",
"identifier": "52704315004",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MARIETTA LOCATION",
"identifier": "52704315002",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AUSTELL LOCATION",
"identifier": "52704315003",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS WOODSTOCK LOCATION",
"identifier": "5274315001",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.