Doris Ogolo

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

1810 Cumming Hwy Ste 1360
Canton, GA 30115-2306

Phone

(678) 885-9965

NPI assigned

Oct 9, 2025

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)

Not enrolled

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1073488029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 AVERY LANDING WAY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301151122",
            "telephone_number": "678-954-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 CUMMING HWY STE 1360",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301152306",
            "telephone_number": "678-885-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGOLO",
        "first_name": "DORIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Talbott Oberman, PHARMD
• Obtain the Promise LLC
• Lucia V Ocanoviciu, NP-C
• Valerie Alexis Odorico-Reid, DC
• Miranda Oglesby
• Rita Okolo, DDS
• Sydney Okonoboh, DMD
• Bethany Oliver Craig, M. ED., BCBA
• Kristin Oliver, FNP-C
• Alison Lynn Olsen, PT, DPT

• All providers in Canton, GA
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.