Active NPI
Macy Alexandra Foutz
- Physical Therapist
- Peachtree City, GA
National Provider Identifier
1922884998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT020713
- Practice address
- 3200 Shakerag HL Ste C
Peachtree City, GA 30269-6524 - Phone
- (707) 487-0760
- NPI assigned
- Sep 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | PT020713 | OH | Primary |
Addresses
Primary practice location
3200 Shakerag HL Ste C
Peachtree City, GA 30269-6524
Mailing address
6211 Bachelor Rd NW
Waynesburg, OH 44688-9406
Phone (330) 205-5097
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT020713 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1922884998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6211 BACHELOR RD NW",
"city": "WAYNESBURG",
"state": "OH",
"postal_code": "446889406",
"telephone_number": "330-205-5097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 SHAKERAG HL STE C",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302696524",
"telephone_number": "707-487-0760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOUTZ",
"first_name": "MACY",
"middle_name": "ALEXANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-06",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT020713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.