Active NPI
Assurance Wellness LLC
- Physical Therapist
- Austell, GA
National Provider Identifier
1124771944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ASSURANCE WELLNESS LLC
- Doing business as
- Assurance Wellness LLC
- Practice address
- 1025 E West Connector Ste 406
Austell, GA 30106-8531 - Phone
- (770) 384-1001
- Fax
- (770) 384-0333
- NPI assigned
- Feb 1, 2022
- Last updated
- Feb 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shantia Warren, DPT
- Title
- Doctor of Physical Therapy/Owner
- Phone
- (404) 376-4504
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1025 E West Connector Ste 406
Austell, GA 30106-8531
Mailing address
976 Kathryn CT
Austell, GA 30168-6204
Phone (404) 376-4504
Other names 1
- Assurance Wellness LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Douglasville, GA
- NPI 1700249687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643673600000",
"number": "1124771944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "976 KATHRYN CT",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301686204",
"telephone_number": "404-376-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 E WEST CONNECTOR STE 406",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301068531",
"telephone_number": "770-384-1001",
"fax_number": "770-384-0333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSURANCE WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-01",
"last_updated": "2022-02-01",
"certification_date": "2022-01-04",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "SHANTIA",
"authorized_official_title_or_position": "DOCTOR OF PHYSICAL THERAPY/OWNER",
"authorized_official_telephone_number": "404-376-4504",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Assurance Wellness LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austell, GA
- Maricelis H Armstrong, MD
- Oyebimpe Glory Aroniyo
- Michelle Arrington-Myers
- Ashish Kapila DPM
- Saad Aslam, MBBS
- Atlanta Kidney and Hypertension Associates
- Atlanta Prosthetics & Orthotics, Inc.
- Atlanta West Dermatology & Surgery Center PC (Atlanta West Dermatology PC)
- Atlanta West Family Dentistry
- Attention Consulting Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.