Aloysius Kwabla Kwakumey, MSPT, PHD

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 005865 Issued in GA

Practice address

368 West Pike Street
Suite 204
Lawrenceville, GA 30045

Phone

(877) 840-7372

Fax

(770) 755-5682

NPI assigned

May 1, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Lilburn, GA
  • NPI 1760568257
  Medicare reassignment NPD
• Nursing and Rehab Consultants, LLC

  • Rehabilitation Clinic/Center
  • Lawrenceville, GA
  • NPI 1659593044
  NPD (past) Authorized official
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD
• NRC Medicals Supplies, LLC

  • Durable Medical Equipment & Medical Supplies
  • Lawrenceville, GA
  • NPI 1487860532
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053532820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 LARKSHYRE TRAIL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30043",
            "telephone_number": "678-377-7009",
            "fax_number": "770-755-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 WEST PIKE STREET",
            "address_2": "SUITE 204",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30045",
            "telephone_number": "877-840-7372",
            "fax_number": "770-755-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAKUMEY",
        "first_name": "ALOYSIUS",
        "middle_name": "KWABLA",
        "name_prefix": "Dr.",
        "credential": "MSPT, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT 005865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nissy Kurian-Shajan, LCSW
• Karuna Kusan, M.D.
• Stephen I Kushins, MD
• Abel E Kusovschi, PHARMD
• Kuzhy Dental LLC
• Daisy Kwende, MD
• Ji Hye Kwon, D.O.
• Sylvia Heider Kyle, PSY.D.
• KZS Medical Transpotation Company LLC.
• Patrice Labeach, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.