NPIMap

Organization Active NPI

Anderson Physical Therapy Associates, Inc.

  • Physical Therapist
  • Braselton, GA
National Provider Identifier
1396004883
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010175 Issued in GA
Legal business name
ANDERSON PHYSICAL THERAPY ASSOCIATES, INC.
Practice address
5775 Old Winder Hwy
Braselton, GA 30517-1603
Phone
(678) 866-4104
Fax
(678) 828-5887
NPI assigned
May 3, 2012
Last updated
Jul 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Authorized official

Name
Shawna Anderson, M.P.T.NPI 1922308238
Title
Owner
Phone
(678) 761-6866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT010175 GA Primary

Addresses

Primary practice location

5775 Old Winder Hwy
Braselton, GA 30517-1603

Mailing address

5775 Old Winder Hwy
Braselton, GA 30517-1603
Phone (678) 866-4104

National Provider Directory

National Provider Directory

Locations

1294 Thompson Bridge Rd
Ste 101
Gainesville, GA 30501
Phone (678) 866-4104

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1396004883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 OLD WINDER HWY",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305171603",
            "telephone_number": "678-866-4104",
            "fax_number": "678-828-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 OLD WINDER HWY",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305171603",
            "telephone_number": "678-866-4104",
            "fax_number": "678-828-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON PHYSICAL THERAPY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-761-6866",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braselton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.