Active NPI
Alexander Maxwell Stephens, PT
- Physical Therapist
- Woodstock, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT011935
- Practice address
- 2295 Towne Lake Pkwy
Ste 148
Woodstock, GA 30189-5520 - Phone
- (770) 926-2744
- Fax
- (770) 926-2794
- NPI assigned
- May 28, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT011935 | GA | Primary |
Addresses
Primary practice location
2295 Towne Lake Pkwy
Ste 148
Woodstock, GA 30189-5520
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 E W Connector
Suite 406
Austell, GA 30106-8531
Phone (770) 384-1001
1050 Richard D Sailors Pkwy
Suite 1100
Powder Springs, GA 30127-5232
Phone (678) 932-2956
1305 Cedarcrest Rd
Suite 117
Dallas, GA 30132-8201
Phone (770) 917-9603
2500 Dallas Hwy SW
Suite 520
Marietta, GA 30064-2664
Phone (770) 442-5078
3450 Cobb Pkwy NW
Suite 210
Acworth, GA 30101-8352
Phone (770) 974-1978
3460 Sandy Plains Rd
Unit 610
Marietta, GA 30066-4766
Phone (678) 631-5878
400 Tower Rd NE
Suite 140
Marietta, GA 30060-9412
Phone (770) 419-8437
4200 Wade Green Rd NW
Suite 140
Kennesaw, GA 30144-1808
Phone (770) 627-2364
4600 W Village PL SE
Suite 4007
Smyrna, GA 30080-9213
Phone (770) 438-2015
718 Cherokee St NE
Suite 10
Marietta, GA 30060-7253
Phone (470) 787-2932
7951 Villa Rica Hwy
Suite 117
Dallas, GA 30157-8667
Phone (470) 977-3310
9420 Willeo Rd
Suite 202
Roswell, GA 30075-6773
Phone (770) 594-7250
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT011935 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Independent Physical Therapy, LLC | Current | Accepting new patients | |
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
600 Chastain Rd NW
Ste 428
Kennesaw, GA 30144
Phone (770) 425-6701
3460 Sandy Plains Rd
Unit 610
Marietta, GA 30066
Phone (678) 631-5878
11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592
2295 Towne Lake Pkwy
Ste 148
Woodstock, GA 30189
Phone (770) 926-2744
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923
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 and National Provider Directory roles.
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- NPI 1780636068
-
- Physical Therapy Clinic/Center
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- NPI 1083666903
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1801815816
-
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
-
- Physical Therapy Clinic/Center
- Fairburn, GA
- NPI 1013257856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435017600000",
"number": "1356720932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2295 TOWNE LAKE PKWY",
"address_2": "STE 148",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301895520",
"telephone_number": "770-926-2744",
"fax_number": "770-926-2794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "ALEXANDER",
"middle_name": "MAXWELL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-28",
"last_updated": "2015-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT011935",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.