Individual provider Active NPI

Carol Faye Wolf, P.T.

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1891847356
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
391 Issued in GA
Practice address
5780 Cameron Hall BL NW
Suite 1080
Atlanta, GA 30328-4896
Phone
(404) 851-9836
Fax
(404) 705-9171
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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 391 GA Primary

Addresses

Primary practice location

5780 Cameron Hall BL NW
Suite 1080
Atlanta, GA 30328-4896

Mailing address

P.O. Box 76856
Suite 1080
Atlanta, GA 30358-1856
Phone (404) 851-9836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5780 Cameron Hall BL NW
Atlanta, GA 30328-4896

5780 Cameron Hall PL NW
Atlanta, GA 30328-4896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
391GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nathan Segall, M.D., P.C. 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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1891847356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 76856",
            "address_2": "SUITE 1080",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303581856",
            "telephone_number": "404-851-9836",
            "fax_number": "404-705-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5780 CAMERON HALL BL NW",
            "address_2": "SUITE 1080",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284896",
            "telephone_number": "404-851-9836",
            "fax_number": "404-705-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "CAROL",
        "middle_name": "FAYE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "391",
            "primary": true
        }
    ],
    "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 Jul 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.