Active NPI
Whitney Stroup, DPT
- Physical Therapist
- Duluth, GA
National Provider Identifier
1003546524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015930
- Practice address
- 1845 Satellite Blvd
Duluth, GA 30097-5256 - Phone
- (404) 778-6490
- NPI assigned
- Jun 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015930 | GA | Primary |
Addresses
Primary practice location
1845 Satellite Blvd
Duluth, GA 30097-5256
Mailing address
2345 Bellefonte Ave
Lawrenceville, GA 30043-8195
Phone (918) 351-5496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT015930 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1003546524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 BELLEFONTE AVE",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300438195",
"telephone_number": "918-351-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 SATELLITE BLVD",
"city": "DULUTH",
"state": "GA",
"postal_code": "300975256",
"telephone_number": "404-778-6490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROUP",
"first_name": "WHITNEY",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-16",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT015930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.