Adrienne T. Blacksher, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009508 Issued in GA

Practice address

2410 Dekalb Medical Pkwy
Suite E
Lithonia, GA 30058-4999

Phone

(678) 418-8072

Fax

(678) 518-0137

NPI assigned

Jan 30, 2009

Last updated

Apr 21, 2011By the provider in NPPES

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

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dekalb Comprehensive Physical Therapy Limited PartnershipGroup PAC ID 8325059504, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dekalb Comprehensive Physical Therapy Limited Partnership

  • Physical Therapist
  • Stonecrest, GA
  • NPI 1831136951
  Medicare reassignment Care Compare group NPD
• Dekalb Comprehensive Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Stonecrest, GA
  • NPI 1639384225
  NPD (past)

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1851539720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 DEKALB MEDICAL PKWY",
            "address_2": "SUITE E",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584999",
            "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": "2410 DEKALB MEDICAL PKWY",
            "address_2": "SUITE E",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584999",
            "telephone_number": "678-418-8072",
            "fax_number": "678-518-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSHER",
        "first_name": "ADRIENNE",
        "middle_name": "T.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Floyd Billups
• Cecelia Bing, NP-C
• Bio-Medical Applications of Georgia, Inc. (Fresenius Medical Care South Dekalb / Rockdale)
• Biotrack Med Couriers LLC
• Sharell Latrice Bishop, M.A
• Teyoni Blain
• Monica Doretha Blair, DC
• Deryck Blake, RPH
• Tracy D Bland Dubose, MD
• Teresa B Blount

• Physical Therapist in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.

Verify at the official NPI Registry.