Amie Sue Eshraghi, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA000256 Issued in GA

Practice address

5461 Meridian Mark Rd Ste 300
Atlanta, GA 30342-4014

Phone

(404) 785-3757

NPI assigned

Mar 26, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1205463387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 ABINGER LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433037",
            "telephone_number": "404-825-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5461 MERIDIAN MARK RD STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424014",
            "telephone_number": "404-785-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHRAGHI",
        "first_name": "AMIE",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA000256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Tatum Escobar, CRNA
• Azadeh Esfandiarinia, DMD, MS
• Nadia Esfandiarinia, D.M.D
• Brandon Lee Eshleman, PA-C
• Madina Eshova
• Natia Esiashvili, MD
• Orunor Esin, PMHNP
• Alexander Mansoor Eskandari, M.D.
• Nagwa Eskander -Demian, MD
• Bailey Chandler Eskew, PA-S

• Physical Therapy Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.