Elizabeth Jalali

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015966 Issued in GA

Practice address

130 Long Branch Rd Unit 102
Dahlonega, GA 30533-7132

Phone

(706) 864-0200

NPI assigned

Jun 21, 2022

Last updated

Aug 28, 2024By 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

Mercer University School of Medicine, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Aczi LLCGroup PAC ID 3870864861, 11 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.

• Aczi, LLC

  dba Avondale Physical Therapy

  • Physical Therapy Clinic/Center
  • Atlanta, GA
  • NPI 1871022541
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1861123705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214915",
            "telephone_number": "866-518-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LONG BRANCH RD UNIT 102",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305337132",
            "telephone_number": "706-864-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 N Druid Hills Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303293987",
            "country_code": "US",
            "telephone_number": "470-427-3840",
            "fax_number": "470-200-2818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 N Avondale Rd",
            "address_purpose": "LOCATION",
            "city": "Avondale Estates",
            "state": "GA",
            "postal_code": "300021319",
            "country_code": "US",
            "telephone_number": "470-649-3626",
            "fax_number": "470-839-6922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JALALI",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Ingram, LPN
• Inneraction Psychological Associates, P.C.
• Integrity Anesthesia P.C.
• Richard Gerard Jabaley, O.D.
• Andrew James Jakiel, LAT, ATC
• Jamison Therapy LLC
• Brittany Jamison, MS/CCC-SLP
• JD Matsunaga LLC
• Abigail Grace Jones, PT, DPT
• Andrea Elizabeth Jones, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.

Verify at the official NPI Registry.