Individual provider Active NPI

Tatiana Smith Forester

  • Physical Therapy Assistant
  • Douglasville, GA
National Provider Identifier
1174102776
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
618 Abbington LN
Douglasville, GA 30134-6357
Phone
(404) 345-9127
NPI assigned
Apr 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X GA Primary

Addresses

Primary practice location

618 Abbington LN
Douglasville, GA 30134-6357

Mailing address

618 Abbington LN
Douglasville, GA 30134-6357
Phone (404) 345-9127

Other practice location 1

618 Abbington Ln
Douglasville, GA 30134-6357
Phone (404) 345-9127

Other names 1

  • Tatiana Forester Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1174102776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 ABBINGTON LN",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346357",
            "telephone_number": "404-345-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 ABBINGTON LN",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301346357",
            "telephone_number": "404-345-9127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 Abbington Ln",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301346357",
            "country_code": "US",
            "telephone_number": "404-345-9127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH FORESTER",
        "first_name": "TATIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATIANA",
            "last_name": "FORESTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.