Individual provider Active NPI

Deborah E Koval, PT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1861548752
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008500 Issued in GA
Practice address
2330 Welton PL
Atlanta, GA 30338-5345
Phone
(770) 455-3994
Fax
(770) 986-6109
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008500 GA Primary

Addresses

Primary practice location

2330 Welton PL
Atlanta, GA 30338-5345

Mailing address

2330 Welton PL
Atlanta, GA 30338-5345
Phone (770) 455-3994

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070222000384 GA Practitioner - Physical Therapist in Private Practice 6608978630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restorative Therapy and Wellness, LLCGroup PAC ID 0244366763, 5 clinicians

Practice addresses (Care Compare)

5881 Glenridge Dr
Suite 170
Atlanta, GA 30328-5389
Phone (404) 236-0934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restorative Therapy & Wellness, LLC Physical Therapist CurrentSince Mar 16, 2010 Accepting new patients
Reid Clinic Sports Physical Therapy and Spine LLC PastSince Aug 25, 2024 Accepting new patients
Foundation Therapy Center - North Atlanta, LLC Physical Therapist PastSince May 1, 2017 Accepting new patients
Foundation Therapy Center-Alpharetta, LLC Physical Therapist Past Accepting new patients

Locations

5881 Glenridge Dr
Ste 170
Sandy Springs, GA 30328
Phone (404) 236-0934

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262131200000",
    "number": "1861548752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 WELTON PL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385345",
            "telephone_number": "770-455-3994",
            "fax_number": "770-986-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 WELTON PL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385345",
            "telephone_number": "770-455-3994",
            "fax_number": "770-986-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVAL",
        "first_name": "DEBORAH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2009-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.