Anthony Xavier Caraballo, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT016330 Issued in GA

Practice address

2955 Peachtree Rd NE Ste A1
Atlanta, GA 30305-2185

Phone

(404) 263-0676

NPI assigned

Nov 3, 2022

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Kennestone Hospital, Inc

  • Psychiatric Hospital Unit
  • Atlanta, GA
  • NPI 1689361438
  NPD (past)

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1205543790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 ALEXANDER RD NE UNIT 415",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303264250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 PEACHTREE RD NE STE A1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052185",
            "telephone_number": "404-263-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABALLO",
        "first_name": "ANTHONY",
        "middle_name": "XAVIER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT016330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Capsule Atlanta LLC
• Jared Capuano
• Raymond Vincent Caputo, M.D.
• Mayur Cara, D.C.
• Yasheena Cara, DMD
• Elizabeth Lynn Carbone, M.S.W.
• Eric G. Carbone, PH.D.
• Kristina Carbone, PHARMD
• Michelle Wesson Carden
• Isabel Cardenas, MS

• Orthopedic Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Orthopedic Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.

Verify at the official NPI Registry.