Active NPI
Adam Michael Wojtysiak, PT, DPT
- Physical Therapist
- Marietta, GA
National Provider Identifier
1407492010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3405 Dallas Hwy SW Ste 601
Marietta, GA 30064-6427 - Phone
- (770) 438-5226
- NPI assigned
- Nov 19, 2019
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
3405 Dallas Hwy SW Ste 601
Marietta, GA 30064-6427
Mailing address
147 26TH St NW Apt 3006
Atlanta, GA 30309-2061
Phone (571) 379-3635
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1407492010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 26TH ST NW APT 3006",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303092061",
"telephone_number": "571-379-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3405 DALLAS HWY SW STE 601",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300646427",
"telephone_number": "770-438-5226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOJTYSIAK",
"first_name": "ADAM",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-19",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"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 Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.