Active NPI
Teresa Ann Mills
- Physical Therapist
- Marietta, GA
National Provider Identifier
1376904961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 001404
- Practice address
- 732 Kennesaw Ave NW Ste 120
Marietta, GA 30060-9406 - Phone
- (770) 425-4205
- NPI assigned
- Mar 10, 2016
- 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 | 001404 | GA | Primary |
Addresses
Primary practice location
732 Kennesaw Ave NW Ste 120
Marietta, GA 30060-9406
Mailing address
3881 Landmark Dr
Douglasville, GA 30135-1288
Phone (770) 313-0484
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 |
|---|---|---|---|
| 001404 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Consultants Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Marietta, GA
- NPI 1013997113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457568000000",
"number": "1376904961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3881 LANDMARK DR",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301351288",
"telephone_number": "770-313-0484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 KENNESAW AVE NW STE 120",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300609406",
"telephone_number": "770-425-4205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "TERESA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-10",
"last_updated": "2016-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "001404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.