Individual provider Active NPI

Andrew Wolverton

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1154006047
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016650 Issued in GA
Practice address
2293 Peachtree Rd NE
Atlanta, GA 30309-1101
Phone
(404) 309-8888
NPI assigned
Jun 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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 PT016650 GA Primary

Addresses

Primary practice location

2293 Peachtree Rd NE
Atlanta, GA 30309-1101

Mailing address

3046 Peachtree Dr NE
Atlanta, GA 30305-7900
Phone (404) 309-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230911002010 GA Practitioner - Physical Medicine and Rehabilitation 2860856721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandy Springs Physical Therapy LLCGroup PAC ID 1557402625, 8 clinicians

Practice addresses (Care Compare)

5290 Roswell Rd
Atlanta, GA 30342-1978
Phone (404) 477-5555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sandy Springs Physical Therapy LLC Physical Therapist CurrentSince Jun 15, 2023 Accepting new patients
Fortis Sports Performance, LLC Physical Therapist CurrentSince Aug 10, 2025 Accepting new patients

Locations

2293 Peachtree Rd NE
Atlanta, GA 30309
Phone (404) 309-8888

5290 Roswell Rd
Ste W
Sandy Springs, GA 30342
Phone (404) 477-5555

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1154006047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3046 PEACHTREE DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303057900",
            "telephone_number": "404-309-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2293 PEACHTREE RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091101",
            "telephone_number": "404-309-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLVERTON",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.