Active NPI
Michael C Rochelle, PT
- Physical Therapist
- Chatsworth, GA
National Provider Identifier
1982608402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 861
- Practice address
- 502 Gi Maddox Pkwy
Unit E
Chatsworth, GA 30705-3222 - Phone
- (706) 695-9699
- Fax
- (706) 695-1623
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 861 | GA | Primary |
Addresses
Primary practice location
502 Gi Maddox Pkwy
Unit E
Chatsworth, GA 30705-3222
Mailing address
PO Box 949
Rome, GA 30162-0949
Phone (706) 236-2774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000846293B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 861 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Rehabilitation and Consulting | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Rome, GA
- NPI 1174518682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414108800000",
"number": "1982608402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 949",
"city": "ROME",
"state": "GA",
"postal_code": "301620949",
"telephone_number": "706-236-2774",
"fax_number": "706-802-1408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 GI MADDOX PKWY",
"address_2": "UNIT E",
"city": "CHATSWORTH",
"state": "GA",
"postal_code": "307053222",
"telephone_number": "706-695-9699",
"fax_number": "706-695-1623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHELLE",
"first_name": "MICHAEL",
"middle_name": "C",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2014-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "861",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000846293B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chatsworth, GA
- Rice Rehabilitation Associates Limited Partnership
- Rice Rehabilitation Associates Limited Partnership
- James Richards, PHARM.D.
- Bryn Richmond, CCC-SLP
- Robert T. Cook MD PC
- Robin Roe, FNP-BC
- Jennifer Nicole Romine, CNM, WHNP
- Safeguard Emergency Physicians, LLC
- Robert Augustus Shiflett, DMD
- Kirsten Tamara Shoemaker, BSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.