Individual provider Active NPI

Michelle Louise Camarata, MHA MDT PT

  • Physical Therapist
  • Roswell, GA
National Provider Identifier
1255329934
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT002364 Issued in GA
Practice address
540 W Crossville Rd Ste 203
Roswell, GA 30075-7524
Phone
(678) 585-0175
NPI assigned
Oct 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4225 CT
Physical Therapist 225100000X 2305206791 VA
Physical Therapist 225100000X PT002364 GA Primary

Addresses

Primary practice location

540 W Crossville Rd Ste 203
Roswell, GA 30075-7524

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (866) 518-0283

Other identifiers 3

IdentifierTypeStateIssuer
1255329934OtherVANPI
5563079OtherCTAETNA
080004225CT07OtherCTBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090908000097 GA Practitioner - Physical Therapist in Private Practice 8426068859 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Rehabilitation Group IncGroup PAC ID 7618341454, 6 clinicians

Practice addresses (Care Compare)

4941 S Old Peachtree Rd
Suite D
Peachtree Corners, GA 30092-3495
Phone (678) 335-2080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT002364GAMDPhysical Therapist
4225CTMDOccupational Therapist
004225CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Jun 17, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Restorative Therapy & Wellness, LLC Physical Therapist CurrentSince Dec 12, 2022 Accepting new patients
Southeast Rehabilitation Group Inc CurrentSince Jul 7, 2025 Accepting new patients
Benchmark Physical Therapy Inc Physical Therapist CurrentSince Jun 17, 2024 Accepting new patients
Associated Neurologists, PC PastSince Jul 1, 1991 Accepting new patients
Athletic Spine Rehabilitation, LLC Physical Therapist PastSince Jul 1, 2017 Accepting new patients

Locations

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

12850 Highway 9 N
Ste 1050
Alpharetta, GA 30004
Phone (678) 332-5800

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

2750 Chapel Hill Rd
Ste 1200
Douglasville, GA 30135
Phone (678) 981-6290

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

3460 Sandy Plains Rd
Unit 610
Marietta, GA 30066
Phone (678) 631-5878

4941 S Old Peachtree Rd
Ste D
Peachtree Corners, GA 30092
Phone (678) 335-2080

540 W Crossville Rd
Ste 203
Roswell, GA 30075
Phone (678) 585-0175

875 Mansell Rd
Ste H
Roswell, GA 30076
Phone (678) 821-2170

5881 Glenridge Dr
Ste 170
Sandy Springs, GA 30328
Phone (404) 236-0934

Organizations & group practices 10

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1255329934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "866-518-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W CROSSVILLE RD STE 203",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757524",
            "telephone_number": "678-585-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARATA",
        "first_name": "MICHELLE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "MHA MDT PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "4225",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206791",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT002364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1255329934",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5563079",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "080004225CT07",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.