Robert Kent Elsberry

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT004023 Issued in GA

Practice address

1432 Towne Lake Pkwy
Ste 120
Woodstock, GA 30189

Phone

(678) 445-9799

Fax

(678) 445-2688

NPI assigned

Aug 28, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Advance Rehabilitation and Consulting

  • Physical Therapist
  • Rome, GA
  • NPI 1174518682
  NPD (past)
• Rebound Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Woodstock, GA
  • NPI 1487739173
  NPD (past)

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1992999510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 TOWNE LAKE PKWY",
            "address_2": "STE 120",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30189",
            "telephone_number": "678-445-9799",
            "fax_number": "678-445-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 TOWNE LAKE PKWY",
            "address_2": "STE 120",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30189",
            "telephone_number": "678-445-9799",
            "fax_number": "678-445-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSBERRY",
        "first_name": "ROBERT",
        "middle_name": "KENT",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT004023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve Brienne Ellis, LPC
• Nicole Pettis Ellis
• Ashley Ellison, OT
• James David Ellner, M.D.
• Jared Paul Elms, DC
• Glenn Richard Eltz, D.C.
• Michael Emanuelo, DC
• Empowered Movement Company LLC
• EMS of Georgia LLC
• Abigail Joy Engel

• All providers in Woodstock, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.