Active NPI
Michele Ellen Audet, PT
- Physical Therapist
- Stone Mountain, GA
National Provider Identifier
1326675372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 001309
- Practice address
- 1529 Sagewood Cir
Stone Mountain, GA 30083-1205 - Phone
- (404) 580-3995
- NPI assigned
- Mar 26, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 001309 | GA | Primary |
Addresses
Primary practice location
1529 Sagewood Cir
Stone Mountain, GA 30083-1205
Mailing address
1529 Sagewood Cir
Stone Mountain, GA 30083-1205
Phone (404) 580-3995
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 |
|---|---|---|---|
| 001309 | GA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585180800000",
"number": "1326675372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1529 SAGEWOOD CIR",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300831205",
"telephone_number": "404-580-3995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1529 SAGEWOOD CIR",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300831205",
"telephone_number": "404-580-3995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUDET",
"first_name": "MICHELE",
"middle_name": "ELLEN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-26",
"last_updated": "2020-03-26",
"certification_date": "2020-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "001309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stone Mountain, GA
- Lindsey Atkinson, RBT, BCBA
- Atlanta Dental Team Stone Mountain PC
- Atlanta Metro Psychiatric Associates
- Atlanta Mobile Medical LLC
- Atlanta Podiatry Clinic
- Corliss La-Shunuette Austin-Harris, D.P.M., M.S.
- Jose Roberto Aveiga, PT, DPT
- Franky Azor, LPN
- B and B Orthopedics and Spine LLC
- George Foster Baker Jr.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.