PEACHTREE ORTHOPAEDIC CLINIC, P.A. (NPI# 1497781942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497781942 |
| Entity Type | Organization |
| Organization Name | PEACHTREE ORTHOPAEDIC CLINIC, P.A. |
| Other Organization Name | PEACHTREE ORTHOPAEDIC PHYSICAL THERAPY |
| Practice Address |
1901 Phoenix Blvd Suite 120 College Park GA 30349-5588 |
| Practice Telephone | 4043556548 |
| Practice Fax Number | 7709967299 |
| Mailing Telephone | 4043556548 |
| Mailing Fax Number | 7709967299 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2008-03-17 |
| Authorized Official Name | GREG COOPER (MANAGING PARTNER) |
| Authorized Official Telephone | 2193656560 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Peachtree Orthopaedic Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659664399 | Peachtree Orthopaedic Clinic, P.a. | Occupational Therapist | 2045 Peachtree Rd Ne Ste 600, Atlanta, GA 30309-1414 | 2011-05-26 |
| 1235678483 | Peachtree Orthopaedic Clinic, P.a. | Durable Medical Equipment & Medical Supplies | 3200 Downwood Cir Nw, Suite 700, Atlanta, GA 30327-1610 | 2017-02-21 |
| Street Address |
1901 PHOENIX BLVD SUITE 120 |
| City | COLLEGE PARK |
| State | GA |
| Zip Code | 30349-5588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858434 | Michael Jonathan York | Orthopaedic Surgery | 1901 Phoenix Blvd, Ste 200, College Park, GA 30349-5588 | 2005-08-10 |
| 1245686716 | Peachtree Orthoapedic Clinic, P.a. | Pharmacy | 1901 Phoenix Blvd, Ste 200-mod C, College Park, GA 30349-5063 | 2016-05-13 |
| 1942668363 | Peachtree Occupational Medicine & Urgent Care | Clinic/Center | 1901 Phoenix Blvd, Suite 205, College Park, GA 30349-5063 | 2016-01-30 |
| 1770913576 | Peachtree Orthopaedic Clinic, PC | Pharmacy | 1901 Phoenix Blvd, Suite 200-mod B, College Park, GA 30349-5063 | 2013-11-15 |
| 1205266004 | Peachtree Orthopaedic Clinic, Pa | Pharmacy | 1901 Phoenix Blvd, Suite200-mod D, College Park, GA 30349-5063 | 2013-11-15 |
| 1154569127 | Peachtree Orthopaedic Clinic | Durable Medical Equipment & Medical Supplies | 1901 Phoenix Blvd, Suite 200, College Park, GA 30349-5063 | 2009-01-29 |
| 1124107842 | Stephanie S Applegate | Physical Therapist | 1901 Phoenix Blvd, Suite 205, College Park, GA 30349-5588 | 2006-11-03 |
| 1780763425 | Juan Waller | Physical Therapy Assistant | 1901 Phoenix Blvd, Suite 205, College Park, GA 30349-5588 | 2006-11-03 |
| 1477632107 | Michelle Ackal | Occupational Therapist | 1901 Phoenix Blvd, Suite 205, College Park, GA 30349-5588 | 2006-11-03 |
| 1841235496 | Alexandra Tocio | Occupational Therapist | 1901 Phoenix Blvd, Suite 120, College Park, GA 30349-5588 | 2006-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
| 1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
| 1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| Find all providers in zip 30349 | ||||
| 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 |
|---|---|---|---|---|
| 1356966014 | Professional Sportscare & Rehab, LLC | Physical Therapist | 4511 Knox Rd Ste 102, College Park, MD 20740-3380 | 2020-06-09 |
| 1912404245 | Eric Brodey Wertz | Physical Therapist | 1669 Phoenix Pkwy Ste 102, College Park, GA 30349-5462 | 2018-04-12 |
| 1609289198 | Swati Salvi | Physical Therapist | 9348 Cherry Hill Rd Apt 422, College Park, MD 20740-1244 | 2014-06-03 |
| 1174844609 | Trustway Team Services | Physical Therapist | University of Maryland 379 Field House Dr, Gossett Football Team House, College Park, MD 20742-0001 | 2010-06-18 |
| 1104053925 | Angela Marie Prescott | Physical Therapist | 5001 Apache St, College Park, MD 20740-1914 | 2009-06-19 |
| 1316197650 | Yordanos Gezai Michael | Physical Therapist | 9304 Cherry Hill Rd, 102, College Park, MD 20740-1223 | 2008-09-23 |
| 1538348990 | Laquanda Shuntay White | Physical Therapist | 5678 Greensage Dr, College Park, GA 30349-8739 | 2007-11-01 |
| 1568659852 | Stephen Christopher Baur | Physical Therapist | 7518 Wellesley Dr, College Park, MD 20740-3038 | 2007-10-01 |
| 1962579292 | Stefanie Elizabeth Reid | Physical Therapist | 4740 Cherry Hill Rd, College Park, MD 20740-1330 | 2006-11-30 |
| 1285743658 | Tracy Wesley | Physical Therapist | 4259 Yates Rd, College Park, GA 30337-4415 | 2006-08-30 |
| Find all providers in COLLEGE PARK | ||||
| City | COLLEGE PARK |
| Zip Code | 30349 |
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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.