Foundation Therapy Center - North Atlanta, LLC

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

Last updated

Jan 7, 2016By the provider in NPPES

Organization subpart

No

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

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajavarman Rajendran, P.T.

  • Physical Therapist
  • Snellville, GA
  • NPI 1366775199
  Medicare reassignment Care Compare group NPD
• Shannon Schneider, OT

  • Occupational Therapist
  • Atlanta, GA
  • NPI 1780371898
  Medicare reassignment Care Compare group NPD
• Roberta Jean Burney, PT

  • Physical Therapist
  • Fayetteville, GA
  • NPI 1508980053
  Medicare reassignment NPD
• Andrea Kristin Eggleston

  • Occupational Therapist
  • Roswell, GA
  • NPI 1477831956
  Medicare reassignment NPD
• Teresa Iatridis, OTR/L

  • Occupational Therapist
  • Acworth, GA
  • NPI 1376959387
  Medicare reassignment NPD
• Lynn M. Marchisen, PT

  • Orthopedic Physical Therapist
  • Atlanta, GA
  • NPI 1124084108
  Medicare reassignment NPD
• Geoffrey David Diek, PT

  • Physical Therapist
  • Mesa, AZ
  • NPI 1033219159

  GA, Multi-Specialty

  Medicare reassignment NPD
• Kelly B Griffith, LPT

  • Physical Therapist
  • Johns Island, SC
  • NPI 1417000761

  GA

  Medicare reassignment NPD
• Kristy Marie Talbot, PT

  • Physical Therapist
  • Macon, GA
  • NPI 1982991535
  NPD
• Kayly Tarrance, OT

  • Occupational Therapist
  • Atlanta, GA
  • NPI 1629814447
  NPD
• Kevin Baerwalde, PT

  • Physical Therapist
  • Lagrange, GA
  • NPI 1326034471
  NPD (past)
• Thomas A Boyd, P.T.

  • Physical Therapist
  • Atlanta, GA
  • NPI 1952500381
  NPD (past)

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": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "GRP6025",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Brooks Foti, PHYSICIAN ASSISTANT
• Margaret Foulk, MS, LPC, CRC
• James Dale Foulks, PH.D.
• Foundation Physical Therapy, LLC
• Foundation Psychiatry, P.C.
• Foundations Atlanta, LLC
• Fountain Family Inc (Homewatch CareGivers Atlanta East)
• Fountain Oaks Dental P.C.
• Fountain of Youth MD LLC
• Fountain of Youth MD, LLC

• Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapist in Georgia

• 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.