Active NPI
Mark Pavlin, DPT
- Physical Therapist
- Alpharetta, GA
National Provider Identifier
1902915564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007507
- Practice address
- 12850 Highway 9 N Ste 1050
Alpharetta, GA 30004-4669 - Phone
- (678) 332-5800
- Fax
- (678) 681-9004
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- 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 | PT007507 | GA | Primary |
Addresses
Primary practice location
12850 Highway 9 N Ste 1050
Alpharetta, GA 30004-4669
Mailing address
800 Crescent Centre Dr Ste 300
Franklin, TN 37067-7285
Phone (615) 416-0199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT007507 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1902915564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CRESCENT CENTRE DR STE 300",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370677285",
"telephone_number": "615-416-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12850 HIGHWAY 9 N STE 1050",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300044669",
"telephone_number": "678-332-5800",
"fax_number": "678-681-9004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAVLIN",
"first_name": "MARK",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT007507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.