Active NPI
Autumn Rachel Ulrich, PT
- Orthopedic Physical Therapist
- Kennesaw, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT007378
- Practice address
- 270 Chastain Rd NW
Kennesaw, GA 30144-3012 - Phone
- (678) 594-6080
- Fax
- (678) 594-6081
- NPI assigned
- Apr 5, 2006
- Last updated
- Mar 18, 2010
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT007378 | GA | Primary |
Addresses
Primary practice location
270 Chastain Rd NW
Kennesaw, GA 30144-3012
Mailing address
270 Chastain Rd NW
Kennesaw, GA 30144-3012
Phone (678) 594-6080
Other names 1
- Autumn Rachel Brown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT007378 | GA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resurgens, LLC | Current | Accepting new patients | |
| Resurgens, LLC | Current | Accepting new patients |
Locations
2041 Mesa Valley Way
Ste 100
Austell, GA 30106
Phone (770) 944-1100
270 Chastain Rd NW
Kennesaw, GA 30144
Phone (678) 594-6080
5671 Ptree Dunwoody Rd NE
Ste 700
Sandy Springs, GA 30342
Phone (404) 459-3732
5671 Ptree Dunwoody Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 531-8590
1600 Medical Way
Ste 150
Snellville, GA 30078
Phone (770) 978-5328
Interoperability endpoints
- autumn.ulrich.1@15749.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Resurgens Orthopaedics
- Orthopaedic Surgery Physician
- Braselton, GA
- NPI 1033919790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268870400000",
"number": "1932161940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 CHASTAIN RD NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301443012",
"telephone_number": "678-594-6080",
"fax_number": "678-594-6081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 CHASTAIN RD NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301443012",
"telephone_number": "678-594-6080",
"fax_number": "678-594-6081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULRICH",
"first_name": "AUTUMN",
"middle_name": "RACHEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2010-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "GA",
"license": "PT007378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AUTUMN",
"last_name": "BROWN",
"middle_name": "RACHEL",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.