Andrea Carmin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009181 Issued in GA

Practice address

5555 Peachtree Dunwoody Rd
Suite 225
Atlanta, GA 30342-1703

Phone

(404) 835-3340

Fax

(404) 207-1391

NPI assigned

Mar 25, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sovereign Rehabilitation of Georgia, LLC

  • Physical Therapy Clinic/Center
  • Decatur, GA
  • NPI 1326210840
  NPD (past)
• Sovereign Rehabilitation of Georgia, LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1376756197
  NPD (past)

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1285028480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD",
            "address_2": "SUITE 225",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421703",
            "telephone_number": "404-835-3340",
            "fax_number": "404-207-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 PEACHTREE DUNWOODY RD",
            "address_2": "SUITE 225",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421703",
            "telephone_number": "404-835-3340",
            "fax_number": "404-207-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMIN",
        "first_name": "ANDREA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009181",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT01187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary S Carlton, OD
• Nisreen Shiban Carlton, MD
• Catherine Carman, NP-C
• Carmen M Kavali MD PC
• Sheritta Chantal Carmichael, M.D.
• Laura Kathleen Carmody, LMSW
• Carrie Ware Carmon, LMT
• Kimberly Carmona, NP
• Betty Darlene Carnes, NNP
• Julie A. Carnes, L.P.C.

• Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.