Individual provider Active NPI

Amy Laverne Middleton, PTA

  • Physical Therapy Assistant
  • Atlanta, GA
National Provider Identifier
1275926602
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
003303 Issued in GA
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

Updated by the provider on May 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
34273FLMDPhysical Therapy Assistant
003303GAMDPhysical 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.

Verify at the official NPI Registry.