Organization Active NPI

Flourish Pelvic PT, Lactation and Wellness LLC

  • Orthopedic Physical Therapist
  • Alpharetta, GA
National Provider Identifier
1972136562
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
FLOURISH PELVIC PT, LACTATION AND WELLNESS LLC
Practice address
320 Montgomery Ave
Alpharetta, GA 30004-3163
Phone
(678) 767-2889
NPI assigned
Feb 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Carrie E Dendtler, PT, IBCLCNPI 1649766528
Title
PT, Ibclc
Phone
(678) 767-2889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

320 Montgomery Ave
Alpharetta, GA 30004-3163

Mailing address

320 Montgomery Ave
Alpharetta, GA 30004-3163
Phone (678) 767-2889

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1972136562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 MONTGOMERY AVE",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300043163",
            "telephone_number": "678-767-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MONTGOMERY AVE",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300043163",
            "telephone_number": "678-767-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH PELVIC PT, LACTATION AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "DENDTLER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PT, IBCLC",
        "authorized_official_telephone_number": "678-767-2889",
        "authorized_official_credential": "PT, IBCLC"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.