Amirhoshang Bakhtiarydavijani

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2742 Saint Augustine TRL SE
Marietta, GA 30067-6264

Phone

(404) 626-2582

NPI assigned

Feb 10, 2021

Last updated

Feb 10, 2021By the provider in NPPES

Sex

Male

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

Locations

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.

• Trifecta Healthcare Services, LLC.

  dba Veterans Wellness Center of Florida

  • Pain Clinic/Center
  • Montgomery, AL
  • NPI 1255086583
  NPD

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1053903062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2742 SAINT AUGUSTINE TRL SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676264",
            "telephone_number": "404-626-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2742 SAINT AUGUSTINE TRL SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300676264",
            "telephone_number": "404-626-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHTIARYDAVIJANI",
        "first_name": "AMIRHOSHANG",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Baker
• Nahdia Baker
• Naiya Baker, PT, DPT
• Thomas Cole Baker, MD
• Tylanna Sanigh Baker
• Christopher Throan Bakke, D.M.D.
• Shangeetha Balakumar, MD
• Balancing Life Psychology
• Natasha Balbas
• Kimberly Balie, RPSGT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.