Individual provider Active NPI

Michelle Roszkowski, PT, DPT

  • Physical Therapist
  • Cartersville, GA
National Provider Identifier
1255786174
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12588 Issued in SC
Practice address
1155 Douthit Ferry Rd
Cartersville, GA 30120
Phone
(404) 351-5307
Fax
(404) 351-5308
NPI assigned
Apr 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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 30013 FL
Physical Therapist 225100000X PT016334 GA
Physical Therapist 225100000X 12588 SC Primary

Addresses

Primary practice location

1155 Douthit Ferry Rd
Cartersville, GA 30120

Mailing address

2221 Peachtree Rd NE Ste D336
Atlanta, GA 30309-1148
Phone (404) 846-0899

Other practice location 1

9609 NW 7th Cir Apt 4110
Plantation, FL 33324-4972
Phone (904) 993-8429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230329000424 GA Practitioner - Physical Therapist in Private Practice 6800224007 Reassigns benefits to 3 organizations
I20230517000783 FL Practitioner - Physical Therapist in Private Practice 6800224007 Reassigns benefits to 1 organization
I20241122002187 SC Practitioner - Physical Therapist in Private Practice 6800224007

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation Georgia, LLCGroup PAC ID 4284063835, 80 clinicians

Practice addresses (Care Compare)

5610 Hampton Park Dr
Cumming, GA 30041-4004
Phone (470) 866-5540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30013FLMDPhysical Therapist
12588SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Sep 26, 2024 Accepting new patients
Select Rehabilitation, LLC Physical Therapist CurrentSince Apr 10, 2024 Accepting new patients
Empowerme Rehabilitation Florida, LLC CurrentSince May 5, 2023 Accepting new patients
Empowerme Rehabilitation Florida, LLC Physical Therapist CurrentSince May 5, 2023 Accepting new patients
Integrated Therapy LLC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Empowerme Rehabilitation Georgia, LLC Physical Therapist CurrentSince May 5, 2023 Accepting new patients
Empowerme Rehabilitation, LLC Physical Therapist CurrentSince Sep 26, 2024 Accepting new patients
Life Clinic of Ga PC Physical Therapist PastSince Feb 7, 2022 Accepting new patients
Preferred Podiatry Group PC Past Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

Locations (25 of 27)

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

915 Hawthorne Ave
Athens, GA 30606

562 Research Dr
Athens, GA 30605

2260 Marietta Blvd NW
Apt 104
Atlanta, GA 30318

2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309

2153A Briarcliff Rd NE
Atlanta, GA 30329

355 S River St
Calhoun, GA 30701

150 Cottage Ln
Carrollton, GA 30117
Phone (770) 830-8857

4255 Will Lee Rd
College Park, GA 30349

5610 Hampton Park Dr
Cumming, GA 30041
Phone (470) 866-5540

201 Aquatic Cir
Cumming, GA 30040

2340 Clifton Springs Rd
Decatur, GA 30034

9375 The Landing Dr
Ste G190
Douglasville, GA 30135

803 Forest Pkwy
Forest Park, GA 30297
Phone (786) 512-9822

11555 Johns Creek Pkwy
Johns Creek, GA 30097
Phone (770) 495-7800

9045 Tara Blvd
Jonesboro, GA 30236
Phone (912) 490-7777

2655 Cobb Pkwy NW
Kennesaw, GA 30152

1823 N Brown Rd
Lawrenceville, GA 30043

4220 Lower Roswell Rd
Marietta, GA 30068
Phone (678) 946-4454

7300 Spalding Dr
Peachtree Corners, GA 30092
Phone (404) 436-2202

5600 Roswell Rd
Bldg I
Sandy Springs, GA 30342
Phone (404) 303-2323

884 Church St SE
Smyrna, GA 30080

1063 Rockbridge Rd
Stone Mountain, GA 30087

50 Brad Akins Dr
Winder, GA 30680

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1255786174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 PEACHTREE RD NE STE D336",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091148",
            "telephone_number": "404-846-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 DOUTHIT FERRY RD",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "30120",
            "telephone_number": "404-351-5307",
            "fax_number": "404-351-5308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9609 NW 7th Cir Apt 4110",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333244972",
            "country_code": "US",
            "telephone_number": "904-993-8429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSZKOWSKI",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "30013",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016334",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "12588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.