Active NPI
PT Solutions of Acworth, LLC
- Physical Therapist
- Sandy Springs, GA
National Provider Identifier
1891194932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PT SOLUTIONS OF ACWORTH, LLC
- Practice address
- 227 Sandy Springs PL
Suite 412 & 414
Sandy Springs, GA 30328-5918 - Phone
- (866) 464-3878
- Fax
- (334) 396-4905
- NPI assigned
- Aug 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dale M Yake, DPT
- Title
- Ceo
- Phone
- (334) 396-3273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
227 Sandy Springs PL
Suite 412 & 414
Sandy Springs, GA 30328-5918
Mailing address
PO Box 242278
Montgomery, AL 36124-2278
Phone (334) 396-3273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040629000794 | GA | Part B Supplier - Clinic/Group Practice | 0042291817 |
Receives reassigned benefits from 14 practitioners 33 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hahira, GA; Watkinsville, GA; Villa Rica, GA; Valdosta, GA; Tyrone, GA; Norcross, GA; Evans, GA; Decatur, GA… |
Other NPIs on the same Medicare enrollment 33
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
227 Sandy Springs Pl
Ste 412
Sandy Springs, GA 30328
Phone (866) 464-3878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410220800000",
"number": "1891194932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 242278",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361242278",
"telephone_number": "334-396-3273",
"fax_number": "334-396-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 SANDY SPRINGS PL",
"address_2": "SUITE 412 & 414",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303285918",
"telephone_number": "866-464-3878",
"fax_number": "334-396-4905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PT SOLUTIONS OF ACWORTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-14",
"last_updated": "2014-09-09",
"status": "A",
"authorized_official_last_name": "YAKE",
"authorized_official_first_name": "DALE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "334-396-3273",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.