Unknown Individual – Physical Therapist, NPI 1427229632

Unknown Individual is a healthcare provider. based in Jonesboro, Georgia. specializing in Physical Therapist. They hold a License No. PT009277 (GA). The NPI Number for Unknown Individual is 1427229632

Main info

Organization
Inactive
19 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1427229632
Phone
(770) 907-5743
Address
335 UPPER RIVERDALE RD
Deactivation Date
15 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7708360870
Graduation Year
2007 (19 years ago)
PAC ID
1456505510
Group Practice PAC ID
3274599345
Professional Enrollment ID
I20130128000007
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 335 UPPER RIVERDALE RD

    SUITE B10

    JONESBORO, GA 302361099

    Phone: (770) 907-5743

    Fax: (770) 907-5746

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes17121$0
97140Therapy procedure using manual technique, each 15 minutes14017$0
97530Therapy procedure using functional activities6713$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes5513$0
View full utilization report →

Insurance plans in this area (ZIP 30236)

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Provider's Procedures

Unknown Individual performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYGA97001Physical therapy evaluation1919

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274599345View full group profile
NameSpecialtyState
Family PracticeGA
Nurse PractitionerGA
Family PracticeGA

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1427229632.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Jonesboro?
Unknown Individual currently maps to Jonesboro, Georgia in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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