Alexanddra Veronica Adams, PTA
Individual provider Active NPI Physical Therapy Assistant · Dacula, GA
NPI 1255833752 · NPPES record last updated Mar 1, 2018
Key facts
- NPI
- 1255833752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA003971 (GA)
- Practice address
- 2515 Fence Rd Ste 160
Dacula, GA 30019-2138 - Phone
- (770) 237-2852
- Fax
- (770) 237-2854
- NPI assigned
- Mar 1, 2018
- Sex
- Female
- 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 |
|---|---|---|---|
| PTA003971 | GA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA003971 | GA | Yes |
Addresses
Primary practice location
2515 Fence Rd Ste 160
Dacula, GA 30019-2138
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-2564
Phone (423) 238-8907
Other providers in Dacula, GA
- Above & Beyond Home Care LLC
- Ace Pain and Spine LLC
- Kila Acey
- Active Care EMS
- Adams Healthcare Services, LLC
- Yusuff A Adams
- Addis Personal Care
- Olubukola Adetoye
- Adhesive Surgical Care, LLC
- Johnathan Admiraal
All providers in Dacula, GA · Physical Therapy Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2018. 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.