Active NPI
Alana Suzanne Newsome, DPT
- Physical Therapist
- Canton, GA
National Provider Identifier
1245584127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 450 Northside Cherokee Blvd
Canton, GA 30115-8015 - Phone
- (760) 224-1000
- NPI assigned
- Oct 31, 2012
- Last updated
- Apr 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1224935 | TX | |
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
450 Northside Cherokee Blvd
Canton, GA 30115-8015
Mailing address
286 Seneca Way # 5819
Ellijay, GA 30540-6242
Phone (936) 520-9675
Other practice location 1
1901 Babcock Rd Ste 304
San Antonio, TX 78229-4546
Phone (210) 680-5033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Therapy Services of Texas, Inc | Physical Therapist | Past | Accepting new patients |
| Southlake BNPT Investment LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- San Antonio, TX
- NPI 1013921444
-
dba Professional Therapy Services of Texas
- Physical Therapy Clinic/Center
- San Antonio, TX
- NPI 1205468683
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1245584127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 SENECA WAY # 5819",
"city": "ELLIJAY",
"state": "GA",
"postal_code": "305406242",
"telephone_number": "936-520-9675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 NORTHSIDE CHEROKEE BLVD",
"city": "CANTON",
"state": "GA",
"postal_code": "301158015",
"telephone_number": "760-224-1000"
}
],
"practiceLocations": [
{
"address_1": "1901 Babcock Rd Ste 304",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782294546",
"country_code": "US",
"telephone_number": "210-680-5033",
"fax_number": "210-680-6094",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEWSOME",
"first_name": "ALANA",
"middle_name": "SUZANNE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-31",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1224935",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.