Individual provider Active NPI

Alexis Thomas

  • Physical Therapist
  • Marietta, GA
National Provider Identifier
1093484313
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015492 Issued in GA
Practice address
1205 Johnson Ferry Rd Ste 130
Marietta, GA 30068-5401
Phone
(770) 565-3201
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015492 GA Primary

Addresses

Primary practice location

1205 Johnson Ferry Rd Ste 130
Marietta, GA 30068-5401

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (866) 518-0283

Other practice location 1

Independent Physical Therapy
11172 Highway 142 N
Covington, GA 30014-2547
Phone (678) 712-3692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210917000578 GA Practitioner - Physical Therapist in Private Practice 8820495815 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Luna Care Physical Therapy LLCGroup PAC ID 4082027727, 167 clinicians

Practice addresses (Care Compare)

260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015492GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Aug 16, 2021 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 19, 2023 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Aug 16, 2021 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Aug 16, 2021 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Aug 16, 2021 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Oct 2, 2023 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Oct 2, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Aug 16, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

2815 Buford Dr
Ste 102
Buford, GA 30519
Phone (770) 271-4413

1820 Highway 20 SE
Ste 160
Conyers, GA 30013
Phone (770) 922-9222

11172 Highway 142 N
Covington, GA 30014
Phone (678) 712-3692

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

2065 Grayson Hwy
Ste B
Grayson, GA 30017
Phone (678) 367-0213

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

1205 Johnson Ferry Rd
Ste 130
Marietta, GA 30068
Phone (770) 565-3201

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1093484313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "866-518-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 JOHNSON FERRY RD STE 130",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685401",
            "telephone_number": "770-565-3201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Independent Physical Therapy",
            "address_2": "11172 Highway 142 N",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "GA",
            "postal_code": "300142547",
            "country_code": "US",
            "telephone_number": "678-712-3692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.