Active NPI
Hughandra Newbold
- Physical Therapist
- Marietta, GA
National Provider Identifier
1194446138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016240
- Practice address
- 2550 Sandy Plains Rd Ste 140
Marietta, GA 30066-7210 - Phone
- (770) 438-5162
- NPI assigned
- Sep 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT016240 | GA | Primary |
Addresses
Primary practice location
2550 Sandy Plains Rd Ste 140
Marietta, GA 30066-7210
Mailing address
2245 Interstate North Pkwy SE Unit 621
Atlanta, GA 30339-2225
Phone (814) 873-6540
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016240 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1194446138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2245 INTERSTATE NORTH PKWY SE UNIT 621",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303392225",
"telephone_number": "814-873-6540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 SANDY PLAINS RD STE 140",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300667210",
"telephone_number": "770-438-5162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBOLD",
"first_name": "HUGHANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-08",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT016240",
"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 Sep 8, 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.