Active NPI
Kristy Marie Talbot, PT
- Physical Therapist
- Macon, GA
National Provider Identifier
1982991535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015093
- Practice address
- 3708 Northside Dr
Macon, GA 31210-2404 - Phone
- (478) 745-4206
- NPI assigned
- Jul 5, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306603034 | VA | |
| Physical Therapist | 225100000X | PT015093 | GA | Primary |
Addresses
Primary practice location
3708 Northside Dr
Macon, GA 31210-2404
Mailing address
3708 Northside Dr
Macon, GA 31210-2404
Phone (478) 745-4206
Other practice location 1
6160 Peachtree Dunwoody Rd Ste B90
Atlanta, GA 30328-6040
Phone (770) 673-0093
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | practiceperfect | ||
| CONNECT URL | www.orthoga.org |
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 |
|---|---|---|---|
| 2306603034 | VA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Therapy Center - North Atlanta, LLC | Physical Therapist | Current | Accepting new patients |
| Macon Orthopaedic & Hand Center, PA | Physical Therapist | Past | Accepting new patients |
| Foundation Therapy Center-Alpharetta, LLC | Physical Therapist | Past | Accepting new patients |
Locations
6160 Peachtree Dunwoody Rd
Ste B90
Sandy Springs, GA 30328
Phone (770) 673-0093
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 and National Provider Directory roles.
-
- Physical Therapist
- Atlanta, GA
- NPI 1962460451
-
- Physical Therapist
- Roswell, GA
- NPI 1447283635
-
dba OrthoGeorgia
- Orthopaedic Surgery Physician
- Macon, GA
- NPI 1356489850
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1982991535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3708 NORTHSIDE DR",
"city": "MACON",
"state": "GA",
"postal_code": "312102404",
"telephone_number": "478-745-4206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3708 NORTHSIDE DR",
"city": "MACON",
"state": "GA",
"postal_code": "312102404",
"telephone_number": "478-745-4206"
}
],
"practiceLocations": [
{
"address_1": "6160 Peachtree Dunwoody Rd Ste B90",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303286040",
"country_code": "US",
"telephone_number": "770-673-0093",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TALBOT",
"first_name": "KRISTY",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-05",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306603034",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT015093",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "practiceperfect",
"affiliation": "N",
"address_1": "6160 Peachtree Dunwoody Rd Ste B90",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303286040",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.orthoga.org",
"affiliation": "N",
"address_1": "3708 Northside Dr",
"city": "Macon",
"state": "GA",
"country_code": "US",
"postal_code": "312102404",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.