Individual provider Active NPI

Adrian Nicholas Prather, P.T.

  • Physical Therapist
  • Toccoa, GA
National Provider Identifier
1912108218
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008337 Issued in GA
Practice address
69 Doyle St Ste 102
Toccoa, GA 30577-3676
Phone
(864) 855-7030
Fax
(864) 855-7019
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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 PT008337 GA Primary

Addresses

Primary practice location

69 Doyle St Ste 102
Toccoa, GA 30577-3676

Mailing address

69 Doyle St
Ste 102
Toccoa, GA 30577-3676
Phone (706) 886-3486

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

LicenseStateTypeSpecialty
PT008337GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dosher Physical Therapy Associates Inc Physical Therapist PastSince Aug 25, 2019 Accepting new patients
Dosher Physical Therapy Associates, Inc Physical Therapist PastSince Jun 15, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1912108218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 DOYLE ST",
            "address_2": "STE 102",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305773676",
            "telephone_number": "706-886-3486",
            "fax_number": "706-886-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 DOYLE ST STE 102",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305773676",
            "telephone_number": "864-855-7030",
            "fax_number": "864-855-7019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATHER",
        "first_name": "ADRIAN",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toccoa, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.