NPIMap

Organization Active NPI

Dekalb Comprehensive Physical Therapy Limited Partnership

  • Physical Therapist
  • Stonecrest, GA
National Provider Identifier
1831136951
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DEKALB COMPREHENSIVE PHYSICAL THERAPY LIMITED PARTNERSHIP
Practice address
6000 Hillandale Dr Ste 145
Stonecrest, GA 30058-4840
Phone
(678) 418-8072
Fax
(678) 518-0137
NPI assigned
May 31, 2006
Last updated
Jul 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard Binstein, JD
Title
VP,Authorized Official
Phone
(713) 297-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6000 Hillandale Dr Ste 145
Stonecrest, GA 30058-4840

Mailing address

6000 Hillandale Dr Ste 145
Stonecrest, GA 30038
Phone (678) 418-8072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060601000274 GA Part B Supplier - Clinic/Group Practice 8325059504 Receives reassigned benefits from 8 practitioners
Practice locations: Stonecrest, GA

National Provider Directory

National Provider Directory
Tax ID family
Dekalb Comprehensive Physical Therapy Limited Partnership2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2410 DeKalb Medical Pkwy
Lithonia, GA 30058
Phone (678) 418-8072

2410 DeKalb Medical Pkwy
Ste E
Lithonia, GA 30058
Phone (678) 418-8072

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1831136951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 HILLANDALE DR STE 145",
            "city": "STONECREST",
            "state": "GA",
            "postal_code": "30038",
            "telephone_number": "678-418-8072",
            "fax_number": "678-518-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 HILLANDALE DR STE 145",
            "city": "STONECREST",
            "state": "GA",
            "postal_code": "300584840",
            "telephone_number": "678-418-8072",
            "fax_number": "678-518-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB COMPREHENSIVE PHYSICAL THERAPY LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP,AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stonecrest, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.