Active NPI
Carson Wolf, P.T.
- Physical Therapist
- Roswell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013359
- Practice address
- 10575 Shallowford Rd
Roswell, GA 30075-2742 - Phone
- (770) 410-8195
- NPI assigned
- Mar 2, 2018
- Last updated
- Jul 28, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT013359 | GA | Primary |
| Physical Therapist | 225100000X | PT022535 | PA | |
| Physical Therapist | 225100000X | PT43948 | FL |
Addresses
Primary practice location
10575 Shallowford Rd
Roswell, GA 30075-2742
Mailing address
10575 Shallowford Rd
Roswell, GA 30075-2742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4055 Suwanee Dam Rd
Suwanee, GA 30024-4948
Phone (770) 315-1349
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT022535 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Group Practice LLC | Physical Therapist | Current | Accepting new patients |
| Tower Health Medical Group | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Aegis Group Practice LLC | Physical Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Physical Therapist | Current | Accepting new patients |
Locations
4933 Old Greenwood Rd
Fort Smith, AR 72903
420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637
420 S 5th Ave
#D1
West Reading, PA 19611
Phone (484) 628-2900
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Suwanee, GA
- NPI 1295412773
-
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- NPI 1932072030
-
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- NPI 1609291350
-
dba Breast Health Center Wyomissing Tower Health Medical Group
- Surgery Physician
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- NPI 1831954353
-
dba Obstetrics & Gynecology Wyomissing Reed Ave Tower Health Medical Group
- Obstetrics & Gynecology Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1316449622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10575 SHALLOWFORD RD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10575 SHALLOWFORD RD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752742",
"telephone_number": "770-410-8195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "CARSON",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-02",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT013359",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT022535",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT43948",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.