Chika Justice Ezeokonkwo, PT,DPT

Individual provider Active NPI Physical Therapist · Rockmart, GA

NPI 1144154121 · NPPES record last updated Jun 12, 2026

Key facts

NPI
1144154121
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT018294 (GA)
Practice address
1650 Chattahoochee Dr
Rockmart, GA 30153-2023
Phone
(706) 509-3683
NPI assigned
Jun 12, 2026
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT018294 GA Yes

Addresses

Primary practice location

1650 Chattahoochee Dr
Rockmart, GA 30153-2023

Mailing address

8162 Birch Walk Dr
Riverdale, GA 30274-7116
Phone (770) 896-4121

Other providers in Rockmart, GA

All providers in Rockmart, GA · Physical Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.