MICHELLE DOMINIQUE SEGRETTO (NPI# 1275965055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275965055 |
| Entity Type | Individual |
| Full Name | MICHELLE DOMINIQUE SEGRETTO |
| Credential | DPT |
| Practice Address |
4510 Nelson Brogdon Blvd Buford GA 30518-3478 |
| Mailing Address |
8823 Production Ln Ooltewah TN 37363-6511 |
| Practice Telephone | 7709451045 |
| Practice Fax Number | 7709455745 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4232383473 |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT011131 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467841098 | Michelle Segretto | Social Worker | 140 Ridge Rd, Ridge, NY 11961-1000 | 2015-01-20 |
| Street Address |
4510 NELSON BROGDON BLVD |
| City | BUFORD |
| State | GA |
| Zip Code | 30518-3478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568746568 | Donna Hall-rosenthal | Occupational Therapist | 4510 Nelson Brogdon Blvd, Buford, GA 30518-3478 | 2011-10-10 |
| 1346895943 | Sarah Grace Yaksh | Physical Therapist | 4510 Nelson Brogdon Blvd, Buford, GA 30518-3478 | 2019-08-09 |
| 1659846020 | Soohan Kim | Physical Therapist | 4510 Nelson Brogdon Blvd, Buford, GA 30518-3478 | 2018-10-11 |
| 1730670068 | Rhonda Renee Chrisman | Physical Therapy Assistant | 4510 Nelson Brogdon Blvd, Buford, GA 30518-3478 | 2018-05-22 |
| 1114446648 | Nicholas Alexander Foy | Physical Therapist | 4510 Nelson Brogdon Blvd, Buford, GA 30518-3478 | 2017-09-15 |
| 1912452640 | Paul Reid Derr | Physical Therapist | 4510 Nelson Brogdon Blvd, Buford, GA 30518-3478 | 2016-08-23 |
| 1740547850 | Independent Physical Therapy of Georgia, LLC | Clinic/Center | 4510 Nelson Brogdon Blvd, Buford, GA 30518-3478 | 2012-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809090 | Lori G Fiore | Pharmacist | 6001 Highway 20, Sugar Hill, GA 30518 | 2020-10-20 |
| 1295374684 | Wickshire Buford Opco LLC | Assisted Living Facility | 4355 South Lee Street, Buford, GA 30518 | 2020-01-02 |
| 1689221749 | Family First Palliative Care LLC | Internal Medicine | 2299 Saint Kennedy Lane, Buford, GA 30518 | 2019-08-23 |
| 1013471010 | Kennison Pharmacy, LLC | Pharmacy | 4050 Buford Drive, Buford, GA 30518 | 2019-01-24 |
| 1972073534 | Heather Leigh Wilson | Technician, Pathology | 4271 South Lee Street Suite 101 & 102, Buford, GA 30518 | 2018-11-27 |
| 1629581228 | Taylor Family Counseling | Social Worker | 1400 Buford Hwy Ste G7, Sugar Hill, GA 30518 | 2017-11-06 |
| 1417476292 | North Georgia Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 860 Creekview Bluff Way, Buford, GA 30518 | 2017-09-13 |
| 1639693278 | Tara Banks Feddern | Occupational Therapist | 4319 South Lee Street Suite 300, Chandler Speech and Language Services, LLC, Buford, GA 30518 | 2017-07-26 |
| 1114457223 | Jeremy Likens | Specialist/Technologist, Other | 5885 Cumming Hwy Ste 108, #259, Sugar Hill, GA 30518 | 2017-06-13 |
| 1609224336 | Healthqwest Frontiers Inc | Clinic/Center | 4271 South Lee St., Suite 101 & 102, Buford, GA 30518 | 2016-06-03 |
| Find all providers in zip 30518 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447860556 | Amy Henderson | Physical Therapist | 3919 Carter Rd Ste A, Buford, GA 30518-1628 | 2020-08-04 |
| 1306462825 | Gotherex Usa, LLC | Physical Therapist | 2411 Lance Ridge Way, Buford, GA 30519-7999 | 2020-06-20 |
| 1669004743 | Buford Kids Spot Lllp | Physical Therapist | 2140 Buford Hwy Ste 109, Buford, GA 30518-6121 | 2020-02-06 |
| 1881237410 | Dominique Nicole Simmons | Physical Therapist | 3280 Hamilton Mill Rd Unit 109, Buford, GA 30519-7221 | 2019-10-27 |
| 1154880763 | Walter Kalenik | Physical Therapist | 3694 Lake Rabun Ct, Buford, GA 30519 | 2019-03-14 |
| 1205361490 | Sharalyn Trapp | Physical Therapist | 4596 Duane Drive, Buford, GA 30519-7531 | 2017-04-25 |
| 1306384441 | Kyle Richard Morey | Physical Therapist | 1839 Buford Hwy Ste 100, Buford, GA 30518-3672 | 2017-02-09 |
| 1053859744 | Karen Roberts Saturday | Physical Therapist | 3045 Camp Branch Rd, Buford, GA 30519-4460 | 2017-02-02 |
| 1740489327 | Heather Michelle Carlyle | Physical Therapist | 4965 Lanier Islands Pkwy Ste 103, Buford, GA 30518-1717 | 2007-07-13 |
| 1649349903 | John Stuart | Physical Therapist | 4700 Nelson Brogdon Blvd Ste 240, Buford, GA 30518-5401 | 2006-11-08 |
| Find all providers in BUFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.