Active NPI
Treven Cliatt
- Physical Therapist
- Marietta, GA
National Provider Identifier
1093522609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT017525
- Practice address
- 4880 Lower Roswell Rd Ste 625
Marietta, GA 30068-4390 - Phone
- (678) 809-8443
- NPI assigned
- Dec 17, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT017525 | GA | Primary |
Addresses
Primary practice location
4880 Lower Roswell Rd Ste 625
Marietta, GA 30068-4390
Mailing address
6562 Patriot Dr
Columbus, GA 31909-4457
Phone (706) 604-9988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017525 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1093522609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6562 PATRIOT DR",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319094457",
"telephone_number": "706-604-9988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4880 LOWER ROSWELL RD STE 625",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684390",
"telephone_number": "678-809-8443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIATT",
"first_name": "TREVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-17",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT017525",
"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 Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.