Individual provider Active NPI

Yachika Sharma, M.P.T

  • Physical Therapist
  • Jonesboro, GA
National Provider Identifier
1396932042
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009215 Issued in GA
Practice address
335 Upper Riverdale Rd Ste B10
Jonesboro, GA 30236-1071
Phone
(770) 907-5743
NPI assigned
Sep 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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 PT009215 GA Primary

Addresses

Primary practice location

335 Upper Riverdale Rd Ste B10
Jonesboro, GA 30236-1071

Mailing address

335 Upper Riverdale Rd Ste B10
Jonesboro, GA 30236-1071
Phone (770) 907-5743

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT009215GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapy Solutions Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Concentra Primary Care PA Past Accepting new patients

Locations

11180 State Bridge Rd
Ste 206
Johns Creek, GA 30022
Phone (404) 308-3820

11180 State Bridge Rd
Ste 305
Johns Creek, GA 30022
Phone (404) 308-3820

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": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1396932042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 UPPER RIVERDALE RD STE B10",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361071",
            "telephone_number": "770-907-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 UPPER RIVERDALE RD STE B10",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361071",
            "telephone_number": "770-907-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "YACHIKA",
        "credential": "M.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.