Individual provider Active NPI

Summer M Evans

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1245804129
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015236 Issued in GA
Practice address
3280 Howell Mill Rd NW Ste 303
Atlanta, GA 30327-4109
Phone
(470) 300-6030
Fax
(470) 300-6031
NPI assigned
May 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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 PT015236 GA Primary

Addresses

Primary practice location

3280 Howell Mill Rd NW Ste 303
Atlanta, GA 30327-4109

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210528001534 GA Practitioner - Physical Therapist in Private Practice 3476952128 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Team Rehabilitation Services LLC 569 clinicians

Practice addresses (Care Compare)

3280 Howell Mill Rd NW
Suite 303
Atlanta, GA 30327-4109
Phone (470) 300-6030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015236GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince May 17, 2021 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Jul 6, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince May 17, 2021 Accepting new patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 10, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3450 Cobb Pkwy NW
Ste 210
Acworth, GA 30101
Phone (770) 974-1978

3450 Cobb Pkwy NW
Ste 220
Acworth, GA 30101
Phone (770) 974-1978

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

3280 Howell Mill Rd NW
Ste 303
Atlanta, GA 30327
Phone (470) 300-6030

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

975 Dawsonville Hwy
Ste 6
Gainesville, GA 30501
Phone (470) 768-8100

2500 Dallas Hwy SW
Ste 520
Marietta, GA 30064
Phone (678) 383-1696

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1245804129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 HOWELL MILL RD NW STE 303",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274109",
            "telephone_number": "470-300-6030",
            "fax_number": "470-300-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SUMMER",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.