Johns Creek Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JOHNS CREEK PHYSICAL THERAPY

Practice address

4060 Johns Creek Parkway
Suite H
Suwanee, GA 30024-6122

Phone

(770) 622-5344

Fax

(770) 622-5388

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Marc C Stewart, PTNPI 1982735395

Title

PT/Owner

Phone

(770) 622-5344

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Cole Stewart, PT

  • Physical Therapist
  • Suwanee, GA
  • NPI 1982735395
  Medicare reassignment Care Compare group NPD Authorized official
• Prasannalakshmi Nagesh, PT, DPT

  • Physical Therapist
  • Suwanee, GA
  • NPI 1447972682
  Medicare reassignment Care Compare group NPD
• Archana Jayan, BPT

  • Orthopedic Physical Therapist
  • Norcross, GA
  • NPI 1386941391
  Medicare reassignment NPD
• Beth A Paton, DPT

  • Physical Therapist
  • Alpharetta, GA
  • NPI 1083835169
  Medicare reassignment NPD
• Kurtis Kepfer, PT

  • Physical Therapist
  • Suwanee, GA
  • NPI 1225704521
  NPD
• Jennifer Lech, M.P.T.

  • Physical Therapist
  • Duluth, GA
  • NPI 1598981342
  NPD (past)
• Amy Catherine Wallace, O.T.

  • Hand Occupational Therapist
  • Cumming, GA
  • NPI 1376695627
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1891890844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 JOHNS CREEK PARKWAY",
            "address_2": "SUITE H",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246122",
            "telephone_number": "770-622-5344",
            "fax_number": "770-622-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 JOHNS CREEK PARKWAY",
            "address_2": "SUITE H",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246122",
            "telephone_number": "770-622-5344",
            "fax_number": "770-622-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS CREEK PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "770-622-5344",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT006322",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENS",
            "identifier": "PT006322",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johns Creek ENT PC
• Johns Creek Family Medicine LLC
• Johns Creek Internal Medicine PC
• Johns Creek Pain Relief & Wellness, LLC
• Johns Creek Pediatrics
• Johns Creek Primary Care Physicians LLC
• Johns Creek Procedure Center LLC
• Johns Creek Surgery PC
• Johns Creek Therapy Center, LLC
• Vickie Johns, RPH

• Physical Therapist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.

Verify at the official NPI Registry.