Individual provider Active NPI

Hannah Rebecca Goesch, PT, DPT

  • Physical Therapist
  • Roswell, GA
National Provider Identifier
1891223772
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012920 Issued in GA
Practice address
1350 Upper Hembree Rd Ste 100
Roswell, GA 30076-0929
Phone
(770) 664-4809
Fax
(770) 664-4807
NPI assigned
May 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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 PT012920 GA Primary

Addresses

Primary practice location

1350 Upper Hembree Rd Ste 100
Roswell, GA 30076-0929

Mailing address

8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170808003432 GA Practitioner - Physical Therapist in Private Practice 4789955899 Reassigns benefits to 4 organizations
I20210608002511 OR Practitioner - Physical Therapist in Private Practice 4789955899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Emory University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Luna Care Physical Therapy LLCGroup PAC ID 4082027727, 167 clinicians

Practice addresses (Care Compare)

260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 12, 2017 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 12, 2017 Accepting new patients
Stellar Physical Therapy of Georgia LLC Physical Therapist CurrentSince Jul 26, 2023 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Apr 2, 2021 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist Current Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Apr 2, 2021 Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Jun 1, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

21 Ortho Ln
Fl 1
Atlanta, GA 30329

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

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

1350 Upper Hembree Rd
Ste 100
Roswell, GA 30076
Phone (678) 426-2171

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923

Organizations & group practices 10

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": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1891223772",
    "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",
            "fax_number": "423-362-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 UPPER HEMBREE RD STE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300760929",
            "telephone_number": "770-664-4809",
            "fax_number": "770-664-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOESCH",
        "first_name": "HANNAH",
        "middle_name": "REBECCA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.