Active NPI
Amy Laverne Middleton, PTA
- Physical Therapy Assistant
- Atlanta, GA
National Provider Identifier
1275926602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 003303
- Practice address
- 4795 Fulton Industrial Blvd SW
Atlanta, GA 30336-2000 - Phone
- (404) 267-5700
- NPI assigned
- Mar 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 34273 | FL | |
| Physical Therapy Assistant | 225200000X | 003303 | GA | Primary |
Addresses
Primary practice location
4795 Fulton Industrial Blvd SW
Atlanta, GA 30336-2000
Mailing address
3330 Kimberly Rd NW
Kennesaw, GA 30144-1144
Phone (404) 281-1012
Other practice location 1
7410 Boynton Beach Blvd
Boynton Beach, FL 33437-6156
Phone (561) 731-0163
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34273 | FL | MD | Physical Therapy Assistant |
| 003303 | GA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1275926602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 KIMBERLY RD NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301441144",
"telephone_number": "404-281-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4795 FULTON INDUSTRIAL BLVD SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303362000",
"telephone_number": "404-267-5700"
}
],
"practiceLocations": [
{
"address_1": "7410 Boynton Beach Blvd",
"address_purpose": "LOCATION",
"city": "Boynton Beach",
"state": "FL",
"postal_code": "334376156",
"country_code": "US",
"telephone_number": "561-731-0163",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIDDLETON",
"first_name": "AMY",
"middle_name": "LAVERNE",
"name_prefix": "Miss",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-10",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "34273",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "003303",
"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 May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.