Active NPI
Thad Poitevint, PT,CSCS
- Physical Therapist
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT006697
- Practice address
- 2280 Highway 29 N
Newnan, GA 30265-1031 - Phone
- (770) 683-6904
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- 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 | PT006697 | GA | Primary |
Addresses
Primary practice location
2280 Highway 29 N
Newnan, GA 30265-1031
Mailing address
2280 Highway 29 N
Newnan, GA 30265-1031
Phone (770) 683-6904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200732731 | Other | NATIONAL STRENGTH & CONDITIONING ASSOCIATION |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation GA, LLC |
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation GA, LLC |
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | Fox Rehabilitation GA, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160414001813 | GA | Practitioner - Physical Therapist in Private Practice | 7214235894 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Medical College of Georgia School of Medicine, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
Duluth, GA 30097
Phone (877) 407-3422
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.13 of 100
- Quality
- 82.29
- Improvement activities
- 40
- Cost
- 59.2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT006697 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TX: Team Rehab Inc. | Physical Therapist | Current | Accepting new patients |
| Fox Rehabilitation Ga, LLC | Physical Therapist | Current | Accepting new patients |
Locations
3090 Premiere Pkwy
Ste 400
Duluth, GA 30097
Phone (770) 624-2727
8601 Dunwoody Pl
Ste 130
Sandy Springs, GA 30350
Phone (404) 595-2034
8777 Purdue Rd
Ste 330
Indianapolis, IN 46268
8910 Purdue Rd
Ste 700
Indianapolis, IN 46268
Organizations & group practices 2
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": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1376653899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2280 HIGHWAY 29 N",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302651031",
"telephone_number": "770-683-6904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2280 HIGHWAY 29 N",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302651031",
"telephone_number": "770-683-6904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POITEVINT",
"first_name": "THAD",
"credential": "PT,CSCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT006697",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL STRENGTH & CONDITIONING ASSOCIATION",
"identifier": "200732731",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation GA, LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1260 Hightower Trl",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303506248",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation GA, LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "8601 Dunwoody Pl Ste 130",
"city": "Sandy Springs",
"state": "GA",
"country_code": "US",
"postal_code": "303502517",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
"affiliationName": "Fox Rehabilitation GA, LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "3090 Premiere Pkwy Ste 400",
"city": "Duluth",
"state": "GA",
"country_code": "US",
"postal_code": "300978915",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.