Active NPI
Aimee Nichole Konieczny, PT, DPT, CERT DN
- Physical Therapist
- Decatur, GA
National Provider Identifier
1891082350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010318
- Practice address
- 409 Mead Rd Unit C
Decatur, GA 30030-3639 - Phone
- (404) 585-1263
- NPI assigned
- Jul 6, 2011
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT010318 | GA | Primary |
Addresses
Primary practice location
409 Mead Rd Unit C
Decatur, GA 30030-3639
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other practice location 1
455 Philip Blvd Bldg 100
Ste. 160
Lawrenceville, GA 30046-8767
Phone (678) 985-0238
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DPPT 2, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1309910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1891082350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 MEAD RD UNIT C",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303639",
"telephone_number": "404-585-1263"
}
],
"practiceLocations": [
{
"address_1": "455 Philip Blvd Bldg 100",
"address_2": "Ste. 160",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300468767",
"country_code": "US",
"telephone_number": "678-985-0238",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KONIECZNY",
"first_name": "AIMEE",
"middle_name": "NICHOLE",
"name_prefix": "Dr.",
"credential": "PT, DPT, CERT DN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-06",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.