John Addesa, PT
Individual provider Active NPI Physical Therapist · Marietta, GA
NPI 1245062520 · NPPES record last updated Aug 15, 2024
Key facts
- NPI
- 1245062520
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305003026 (VA)
- Practice address
- 886 Johnson Ferry Rd
Marietta, GA 30068-4227 - Phone
- (770) 343-4378
- NPI assigned
- Aug 15, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305003026 | VA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305003026 | VA | Yes |
Addresses
Primary practice location
886 Johnson Ferry Rd
Marietta, GA 30068-4227
Mailing address
100 Treadstone Overlook
Johns Creek, GA 30024-1530
Phone (434) 610-7531
Other providers in Marietta, GA
- Shakasia Adams
- William Edward Adams
- Kirsten Billing Adamson
- Bradley Adcock
- William Meade Adcock
- Addess Chiropractic P.C.
- Andrew Todd Addess
- Callie Loren Addington
- Kimberly Addy
- Adeduntan Adebayo
All providers in Marietta, 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 Aug 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.