Alison Brock, PT
Individual provider Active NPI Physical Therapist · Brookhaven, GA
NPI 1992198725 · NPPES record last updated Mar 18, 2015
Key facts
- NPI
- 1992198725
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT011849 (GA)
- Practice address
- 3118 Lenox Park Cir NE
Brookhaven, GA 30319-5358 - Phone
- (757) 288-0335
- NPI assigned
- Mar 18, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305209287 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Set Sports Physical Therapy, LLC | Past | Accepting new patients | |
| PT Solutions of Acworth LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT011849 | GA | Yes |
| Physical Therapist | 225100000X | 2305209287 | VA |
Addresses
Primary practice location
3118 Lenox Park Cir NE
Brookhaven, GA 30319-5358
Mailing address
3118 Lenox Park Cir NE
Brookhaven, GA 30319-5358
Other providers in Brookhaven, GA
- Sharnell Briggs
- Brighton Hospice Georgia, LLC
- Jamila Brinkley
- Aurora Brinkman
- Gracie Britt
- Karen Broder
- Brookhaven Aesthestic Institute
- Brookhaven Aesthetic Institute
- Brookhaven Chiropractic LLC
- Brookhaven Dental Associates
All providers in Brookhaven, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.