NPIMap

Organization Active NPI

Foundation Therapy Center - North Atlanta, LLC

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1962460451
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FOUNDATION THERAPY CENTER - NORTH ATLANTA, LLC
Practice address
6160 Peachtree Dunwoody Rd NE
Suite B90
Atlanta, GA 30328
Phone
(770) 673-0093
Fax
(770) 673-8368
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Authorized official

Name
Beverly A Stegman
Title
Owner/President
Phone
(404) 435-5052

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X Primary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X GRP6025 GA

Addresses

Primary practice location

6160 Peachtree Dunwoody Rd NE
Suite B90
Atlanta, GA 30328

Mailing address

6160 Peachtree Dunwoody Rd NE
Suite B90
Atlanta, GA 30328
Phone (770) 673-0093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031117000508 GA Part B Supplier - Clinic/Group Practice 6204740046 Receives reassigned benefits from 8 practitioners
Practice locations: Sandy Springs, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1962460451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE B90",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "770-673-0093",
            "fax_number": "770-673-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE B90",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "770-673-0093",
            "fax_number": "770-673-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION THERAPY CENTER - NORTH ATLANTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "STEGMAN",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "404-435-5052"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "GRP6025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.