Individual provider Active NPI

David Mesnick, PT

  • Physical Therapist
  • Suwanee, GA
National Provider Identifier
1972631919
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006388 Issued in GA
Practice address
5400 Laurel Springs Pkwy
Building 1400, Suite 1401
Suwanee, GA 30024-6056
Phone
(770) 225-8860
Fax
(844) 965-9428
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006388 GA Primary

Addresses

Primary practice location

5400 Laurel Springs Pkwy
Building 1400, Suite 1401
Suwanee, GA 30024-6056

Mailing address

5400 Laurel Springs Pkwy
Building 1400, Suite 1401
Suwanee, GA 30024-6056
Phone (770) 225-8860

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051110000692 GA Practitioner - Physical Therapist in Private Practice 9537187281 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Alliance Sports Medicine LLCGroup PAC ID 4981025269, 7 clinicians
Physical Therapy 360 DegreesGroup PAC ID 6305147836, 5 clinicians

Practice addresses (Care Compare)

6110 McFarland Station Dr
Suite 400
Alpharetta, GA 30004-6801
Phone (770) 851-9890

800 Mount Vernon Hwy NE
Suite 140
Atlanta, GA 30328-4293
Phone (678) 430-8107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6388GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy 360 Degrees Physical Therapist CurrentSince Nov 19, 2015 Accepting new patients
Alliance Sports Medicine LLC CurrentSince May 10, 2020 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist Past Accepting new patients
High Performance Physical Therapy Centers Physical Therapist Past Accepting new patients

Locations

6110 McFarland Station Dr
Unit 400
Alpharetta, GA 30004
Phone (770) 851-9890

3565 Piedmont Rd NE
Ste 310
Atlanta, GA 30305
Phone (404) 352-8900

800 Mount Vernon Hwy NE
Ste 140
Sandy Springs, GA 30328
Phone (678) 430-8107

5400 Laurel Springs Pkwy
Ste 1401
Suwanee, GA 30024
Phone (678) 208-0165

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1972631919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 LAUREL SPRINGS PKWY",
            "address_2": "BUILDING 1400, SUITE 1401",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246056",
            "telephone_number": "770-225-8860",
            "fax_number": "844-965-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 LAUREL SPRINGS PKWY",
            "address_2": "BUILDING 1400, SUITE 1401",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246056",
            "telephone_number": "770-225-8860",
            "fax_number": "844-965-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESNICK",
        "first_name": "DAVID",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "006388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.

Verify at the official NPI Registry.