Individual provider Active NPI

Emilie Windham, PT

  • Physical Therapist
  • Woodstock, GA
National Provider Identifier
1235712225
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003332 Issued in GA
Practice address
2814 Andover Way
Woodstock, GA 30189-6801
Phone
(404) 213-9099
NPI assigned
Apr 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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 003332 GA Primary

Addresses

Primary practice location

2814 Andover Way
Woodstock, GA 30189-6801

Mailing address

2814 Andover Way
Woodstock, GA 30189-6801
Phone (404) 213-9099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230808003499 GA Practitioner - Physical Therapist in Private Practice 8022470079 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003332GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Life Clinic of Ga PC Physical Therapist CurrentSince Dec 3, 2022 Accepting new patients
The Weston Group Inc. Physical Therapist CurrentSince Jun 13, 2023 Accepting new patients
The Weston Group Inc. Physical Therapist CurrentSince Jun 13, 2023 Accepting new patients
Integrated Therapy LLC Physical Therapist CurrentSince Oct 1, 2023 Accepting new patients
Atlanta Primary Care House Calls for Senior Communities PastSince Oct 1, 2023 Accepting new patients

Locations

855 North Point Pkwy
Alpharetta, GA 30005
Phone (952) 401-2336

2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309

1100 Reinhardt College Pkwy
Canton, GA 30114
Phone (770) 721-2812

14200 Highway 92
Woodstock, GA 30188
Phone (677) 819-7658

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1235712225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2814 ANDOVER WAY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896801",
            "telephone_number": "404-213-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2814 ANDOVER WAY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896801",
            "telephone_number": "404-213-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "EMILIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "003332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.