Elizabeth Tyler Tredway, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011626 Issued in GA

Practice address

860 Johnson Fy Rd NE
Ste 100
Atlanta, GA 30342-1435

Phone

(404) 252-5545

Fax

(404) 252-5511

NPI assigned

Jul 31, 2014

Last updated

Oct 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clemons Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Cumming, GA
  • NPI 1265803118
  NPD (past)

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1013325216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 ZONOLITE RD NE",
            "address_2": "STE 13",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303062017",
            "telephone_number": "404-817-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 JOHNSON FY RD NE",
            "address_2": "STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421435",
            "telephone_number": "404-252-5545",
            "fax_number": "404-252-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREDWAY",
        "first_name": "ELIZABETH",
        "middle_name": "TYLER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Treadway, PHD
• Allison Amber Treadwell, FNPC
• Julia Stewart Treanor
• Mitchell Jordan Treaster, PA-C
• Treasure Life Center
• Treehousedreams LLC
• Nathaniel Trees
• Treetop Therapy Ga
• Alicia Treglia
• Geffen Treiman

• Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.