Individual provider Active NPI

Alexander Maxwell Stephens, PT

  • Physical Therapist
  • Woodstock, GA
National Provider Identifier
1356720932
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011935 Issued in GA
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

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20150718000037 GA Practitioner - Physical Therapist in Private Practice 7911210018 Reassigns benefits to 3 organizations

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
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

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

LicenseStateTypeSpecialty
PT011935GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Jun 23, 2015 Accepting new patients
Independent Physical Therapy, LLC CurrentSince Jun 23, 2015 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Jun 23, 2015 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist Current Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jun 23, 2015 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jun 1, 2025 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.

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.

Verify at the official NPI Registry.