Annabeth G Norboge, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA003634 Issued in GA

Practice address

665 Gaines School Rd
Athens, GA 30605-3127

Phone

(706) 369-8115

NPI assigned

Jul 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• East Athens Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Athens, GA
  • NPI 1326082611
  NPD (past)

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1831542950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 SKIPSTONE CT",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306772269",
            "telephone_number": "706-369-8115",
            "fax_number": "706-369-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 GAINES SCHOOL RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053127",
            "telephone_number": "706-369-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORBOGE",
        "first_name": "ANNABETH",
        "middle_name": "G",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eno-Obong Anne Nkereuwem
• Zola Nlandu, MD
• Nna of Georgia, Inc.
• Waverly Noble
• Emily Irene Nolan, APRN-CNM
• Connor Norman, PT, CSCS
• Logan Elise Norris-Jones, MED, CCC-SLP
• Byron Kit Norris, MD
• Ellie Lacour Norris, PA
• North Georgia Neprology Consultants LLC

• Physical Therapy Assistant in Athens, GA
• Providers in Athens, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.