James Clark Connelly, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013045 Issued in GA

Practice address

705 Town Blvd NE Ste S550
Brookhaven, GA 30319-7216

Phone

(404) 869-1912

Fax

(404) 869-6515

NPI assigned

Aug 13, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

A Step Ahead Physical Therapy, LLC 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Results Rehab LLC

  • Physical Therapist
  • Roswell, GA
  • NPI 1164096475

  GA, Physical Therapist

  Medicare reassignment NPD Authorized official
• A Step Ahead Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Roswell, GA
  • NPI 1194875500

  GA

  Medicare reassignment Care Compare group
• Independent Physical Therapy of Georgia, LLC

  • Physical Therapist
  • Fort Oglethorpe, GA
  • NPI 1780636068

  GA, Physical Therapist

  Medicare reassignment NPD
• Independent Physical Therapy of Georgia, LLC

  • Physical Therapy Clinic/Center
  • Villa Rica, GA
  • NPI 1013292135
  NPD
• Independent Physical Therapy of Georgia, LLC

  • Occupational Therapist
  • Gainesville, GA
  • NPI 1306013941

  Physical Therapist

  NPD

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

{
    "created_epoch": "1502582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502582400000",
    "number": "1902321763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564",
            "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": "705 TOWN BLVD NE STE S550",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303197216",
            "telephone_number": "404-869-1912",
            "fax_number": "404-869-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "JAMES",
        "middle_name": "CLARK",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-13",
        "last_updated": "2017-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Martin Cohen, MD
• Joslyn Cole, RBT
• Benjamin Coleman, RBT
• J'Nai Nicole Coles, LAT, ATC, OTC
• Computer & Electronic Safety Solutions, Inc.
• Shannon Cook, RBT
• Ruth Maria Cordova Guirola
• Smeda Corneille, RBT
• Cornerstone Care Solutions LLC
• Anastasia Hart Corpus

• All providers in Brookhaven, GA
• Physical Therapist in Georgia

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