Individual provider Active NPI

Michael Berlam, PT, DPT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1881118016
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013013 Issued in GA
Practice address
3200 Downwood Cir NW Ste 700
Atlanta, GA 30327-5308
Phone
(404) 355-0743
Fax
(855) 238-0019
NPI assigned
Jul 30, 2017
Last updated
Aug 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT013013 GA Primary
Orthopedic Physical Therapist 2251X0800X PT013013 GA

Addresses

Primary practice location

3200 Downwood Cir NW Ste 700
Atlanta, GA 30327-5308

Mailing address

1527 Druid Oaks NE
Atlanta, GA 30329-3278
Phone (860) 389-3773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171101002092 GA Practitioner - Physical Therapist in Private Practice 0345516621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Orthopaedic Clinic PAGroup PAC ID 4587552963, 138 clinicians

Practice addresses (Care Compare)

3200 Downwood Cir NW
Suite 700
Atlanta, GA 30327-5308
Phone (404) 355-0743

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT013013GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Physical Therapy, LLC CurrentSince Apr 2, 2021 Accepting new patients
Peachtree Orthopaedic Clinic CurrentSince Jul 28, 2017 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Apr 2, 2021 Accepting new patients
Peachtree Orthopaedic Clinic PA Physical Therapist CurrentSince Jul 28, 2017 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients

Locations

2001 Peachtree Rd NE
Ste 705
Atlanta, GA 30309

3200 Downwood Cir NW
Ste 700
Atlanta, GA 30327
Phone (404) 355-8066

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

Interoperability endpoints

  • Direct secure messaging: michael.berlam.1@8474.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1501372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503446400000",
    "number": "1881118016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 DRUID OAKS NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293278",
            "telephone_number": "860-389-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 DOWNWOOD CIR NW STE 700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303275308",
            "telephone_number": "404-355-0743",
            "fax_number": "855-238-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLAM",
        "first_name": "MICHAEL",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-30",
        "last_updated": "2017-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013013",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT013013",
            "primary": false
        }
    ],
    "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 Aug 23, 2017; 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.