Matthew Peter Anani
Individual provider Active NPI Physical Therapist · Decatur, GA
NPI 1225929656 · NPPES record last updated Jul 14, 2025
Key facts
- NPI
- 1225929656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT017839 (GA)
- Practice address
- 4110 Memorial Dr Ste B
Decatur, GA 30032-1803 - Phone
- (770) 273-7990
- Fax
- (770) 273-7991
- NPI assigned
- Jul 14, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Philadelphia College of Osteopathic Medicine, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Team Rehabilitation Services LLC
Practice addresses (Care Compare)
4110 Memorial Dr
Suite B
Decatur, GA 30032-1803
Phone (770) 273-7990
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250905001250 | GA | Practitioner - Physical Therapist in Private Practice | 3476055807 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017839 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Rehabilitation Services, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
4110 Memorial Dr
Ste B
Decatur, GA 30032
Phone (770) 273-7990
975 Dawsonville Hwy
Ste 6
Gainesville, GA 30501
Phone (470) 768-8100
33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT017839 | GA | Yes |
Addresses
Primary practice location
4110 Memorial Dr Ste B
Decatur, GA 30032-1803
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Other providers in Decatur, GA
- Mercy Ingrid Amua-Quarshie
- Ui An
- Chenell Anagbo-Dowetin
- Kara Ann Anand-Gall
- Roma Anand
- Katrina Rowell Anastasia
- Anchor Home Healthcare Services, Inc.
- Anchor RX LLC
- Jason A Andersen
- Amina Anderson
All providers in Decatur, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.