Individual provider Active NPI

Amy Farthing, PT, DPT

  • Physical Therapist
  • Marietta, GA
National Provider Identifier
1184004079
Registry record updated Jun 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011202 Issued in GA
Practice address
840 Kennesaw Ave NW Ste 2
Marietta, GA 30060-7928
Phone
(678) 685-7270
Fax
(678) 503-2807
NPI assigned
Jun 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2023

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 PT011202 GA Primary

Addresses

Primary practice location

840 Kennesaw Ave NW Ste 2
Marietta, GA 30060-7928

Mailing address

840 Kennesaw Ave NW Ste 2
Marietta, GA 30060-7928
Phone (678) 685-7270

Other practice location 1

999 Whitlock Ave SW Ste 10
Marietta, GA 30064
Phone (678) 685-7270

Other practice location 2

8954 Hospital Dr
Douglasville, GA 30134-2272
Phone (770) 920-6285

Other practice location 3

8954 Hospital Dr
Douglasville, GA 30134-2272
Phone (770) 920-6285

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686441600000",
    "number": "1184004079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 KENNESAW AVE NW STE 2",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607928",
            "telephone_number": "678-685-7270",
            "fax_number": "678-503-2807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 KENNESAW AVE NW STE 2",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607928",
            "telephone_number": "678-685-7270",
            "fax_number": "678-503-2807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 Whitlock Ave SW Ste 10",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "30064",
            "country_code": "US",
            "telephone_number": "678-685-7270",
            "fax_number": "678-503-2807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8954 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301342272",
            "country_code": "US",
            "telephone_number": "770-920-6285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8954 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301342272",
            "country_code": "US",
            "telephone_number": "770-920-6285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARTHING",
        "first_name": "AMY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2023-06-11",
        "certification_date": "2023-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011202",
            "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 Jun 11, 2023; 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.