Active NPI
Nancy Roddy Nurnberg, PT
- Physical Therapist
- Saint Simons Island, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT000809
- Practice address
- 20 Market St Ste 102
Saint Simons Island, GA 31522-1986 - Phone
- (912) 634-5885
- NPI assigned
- Nov 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT000809 | GA | Primary |
Addresses
Primary practice location
20 Market St Ste 102
Saint Simons Island, GA 31522-1986
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (866) 518-0283
Other practice location 1
2185 Northlake Pkwy
Suite 100
Tucker, GA 30084-4126
Phone (770) 493-6360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 E W Connector
Suite 406
Austell, GA 30106-8531
Phone (770) 384-1001
6586 Ga Hwy 40 E
Suite B3
Saint Marys, GA 31558-4041
Phone (912) 809-3015
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT000809 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Functional Pathways Preferred of Tennessee LLC | Physical Therapist | Current | Accepting new patients |
| Atlanta South Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Integrated Therapy LLC | Physical Therapist | Current | Accepting new patients |
| All Health Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Life Clinic of Ga PC | Physical Therapist | Past | Accepting new patients |
| All Health Physical Therapy | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
855 North Point Pkwy
Alpharetta, GA 30005
Phone (952) 401-2336
2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
1823 N Brown Rd
Lawrenceville, GA 30043
20 Market St
Ste 102
St Simons Island, GA 31522
Phone (912) 634-5885
1063 Rockbridge Rd
Stone Mountain, GA 30087
10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847
Organizations & group practices 11
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
- Fort Oglethorpe, GA
- NPI 1780636068
-
- Physical Therapy Clinic/Center
- Duluth, GA
- NPI 1083666903
-
- Physical Therapist
- Atlanta, GA
- NPI 1326247248
-
- Physical Therapist
- Lawrenceville, GA
- NPI 1922051564
-
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
-
- Orthopedic Physical Therapist
- Tucker, GA
- NPI 1295170868
-
- Physical Therapist
- Tucker, GA
- NPI 1336176213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1992072896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "866-518-0283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 MARKET ST STE 102",
"city": "SAINT SIMONS ISLAND",
"state": "GA",
"postal_code": "315221986",
"telephone_number": "912-634-5885"
}
],
"practiceLocations": [
{
"address_1": "2185 Northlake Pkwy",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Tucker",
"state": "GA",
"postal_code": "300844126",
"country_code": "US",
"telephone_number": "770-493-6360",
"fax_number": "770-493-6350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODDY NURNBERG",
"first_name": "NANCY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-19",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT000809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Simons Island, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.