Individual provider Active NPI

Renee Lynn Doddington, DPT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1982855607
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009134 Issued in GA
Practice address
3200 Downwood Cir NW
Suite 500
Atlanta, GA 30327-1610
Phone
(404) 352-4500
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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 PT009134 GA Primary

Addresses

Primary practice location

3200 Downwood Cir NW
Suite 500
Atlanta, GA 30327-1610

Mailing address

970 Charles Allen Dr NE
Apt C
Atlanta, GA 30309-4296
Phone (352) 514-7133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100505000084 GA Practitioner - Physical Therapist in Private Practice 9032247598 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Florida College of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Well EquiptGroup PAC ID 9830430826, 4 clinicians

Practice addresses (Care Compare)

4651 Roswell Rd
Atlanta, GA 30342-3048
Phone (678) 631-7925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT009134GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Well Equipt CurrentSince Jun 20, 2022 Accepting new patients
The Sports Rehabilitation Center CurrentSince Jun 5, 2017 Accepting new patients
BJT & Associates Physical Therapist CurrentSince Jul 7, 2015 Accepting new patients

Locations

555 10th St NW
Atlanta, GA 30318
Phone (404) 477-8888

2669 Osborne Rd NE
Brookhaven, GA 30319
Phone (404) 477-7777

2669 Osborne Rd NE
Ste A
Brookhaven, GA 30319
Phone (404) 477-4777

4651 Roswell Rd
Ste B103
Sandy Springs, GA 30342
Phone (404) 731-7339

Organizations & group practices 3

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": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1982855607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 CHARLES ALLEN DR NE",
            "address_2": "APT C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094296",
            "telephone_number": "352-514-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 DOWNWOOD CIR NW",
            "address_2": "SUITE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271610",
            "telephone_number": "404-352-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODDINGTON",
        "first_name": "RENEE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.