Active NPI
Albradella Regina Davis, PT
- Physical Therapist
- Norcross, GA
National Provider Identifier
1902099542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT001622
- Practice address
- 3945 Holcomb Bridge Rd Ste 100
Norcross, GA 30092-5200 - Phone
- (770) 840-8045
- Fax
- (770) 840-8146
- NPI assigned
- Aug 27, 2007
- 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 | PT001622 | GA | Primary |
Addresses
Primary practice location
3945 Holcomb Bridge Rd Ste 100
Norcross, GA 30092-5200
Mailing address
4578 Holstein Hill Dr
Peachtree Corners, GA 30092-1380
Phone (770) 838-4059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Current | Accepting new patients |
Locations
966A Killian Hill Rd SW
Lilburn, GA 30047
Phone (770) 923-4815
3945 Holcomb Bridge Rd
Ste 100
Peachtree Corners, GA 30092
Phone (770) 840-8045
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Lilburn, GA
- NPI 1760568257
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1902099542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4578 HOLSTEIN HILL DR",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300921380",
"telephone_number": "770-838-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3945 HOLCOMB BRIDGE RD STE 100",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300925200",
"telephone_number": "770-840-8045",
"fax_number": "770-840-8146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ALBRADELLA",
"middle_name": "REGINA",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-27",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT001622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.