Active NPI
Beate Sass, P.T.
- Orthopedic Physical Therapist
- Conyers, GA
National Provider Identifier
1861765224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT010506
- Practice address
- 1301 Sigman Rd NE
Suite 220
Conyers, GA 30012-3812 - Phone
- (678) 210-0311
- Fax
- (678) 210-0335
- NPI assigned
- Feb 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT010506 | GA | Primary |
Addresses
Primary practice location
1301 Sigman Rd NE
Suite 220
Conyers, GA 30012-3812
Mailing address
209 McKoy St
Decatur, GA 30030-4347
Phone (404) 968-9387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT010506 | GA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345939200000",
"number": "1861765224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 MCKOY ST",
"city": "DECATUR",
"state": "GA",
"postal_code": "300304347",
"telephone_number": "404-968-9387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 SIGMAN RD NE",
"address_2": "SUITE 220",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123812",
"telephone_number": "678-210-0311",
"fax_number": "678-210-0335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SASS",
"first_name": "BEATE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-15",
"last_updated": "2012-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "GA",
"license": "PT010506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.