Individual provider Active NPI

Georgia J Denton, MSPT, MTC

  • Physical Therapist
  • Marietta, GA
National Provider Identifier
1982773826
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007629 Issued in GA
Practice address
1515 Johnson Ferry Rd Ste 200
Marietta, GA 30062-6492
Phone
(470) 210-7222
NPI assigned
Nov 7, 2006
Last updated
Nov 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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 PT007629 GA Primary

Addresses

Primary practice location

1515 Johnson Ferry Rd Ste 200
Marietta, GA 30062-6492

Mailing address

1515 Johnson Ferry Rd Ste 200
Marietta, GA 30062-6492
Phone (470) 210-7222

Other identifiers 1

IdentifierTypeStateIssuer
PT007629OtherGASTATE LISC NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170921002501 GA Practitioner - Physical Therapist in Private Practice 5395019863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Integral Physical Therapy LLCGroup PAC ID 8921402660, 2 clinicians

Practice addresses (Care Compare)

3535 Roswell Rd
Suite 36
Marietta, GA 30062-8829
Phone (404) 210-2093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Physical Therapy LLC Physical Therapist CurrentSince Nov 7, 2022 Accepting new patients

Locations

1515 Johnson Ferry Rd
Ste 200
Marietta, GA 30062
Phone (470) 210-7222

3535 Roswell Rd
Ste 36
Marietta, GA 30062
Phone (404) 210-2093

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1982773826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 JOHNSON FERRY RD STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626492",
            "telephone_number": "470-210-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 JOHNSON FERRY RD STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626492",
            "telephone_number": "470-210-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTON",
        "first_name": "GEORGIA",
        "middle_name": "J",
        "credential": "MSPT, MTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISC NUMBER",
            "identifier": "PT007629",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.