Active NPI
Natalie Edwards, PT, DPT
- Physical Therapist
- Gainesville, GA
National Provider Identifier
1407504228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014861
- Practice address
- 500 Spring St SE Ste 101
Gainesville, GA 30501-3773 - Phone
- (770) 615-7676
- NPI assigned
- Mar 10, 2022
- Sex
- Female
- 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 | PT014861 | GA | Primary |
Addresses
Primary practice location
500 Spring St SE Ste 101
Gainesville, GA 30501-3773
Mailing address
5524 Shallow Branch Dr
Flowery Branch, GA 30542-6504
Phone (404) 735-3781
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 |
|---|---|---|---|
| PT014861 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifting Spirits Therapy Services, Inc | 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.
-
- Pediatric Occupational Therapist
- Gainesville, GA
- NPI 1083891907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1407504228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5524 SHALLOW BRANCH DR",
"city": "FLOWERY BRANCH",
"state": "GA",
"postal_code": "305426504",
"telephone_number": "404-735-3781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SPRING ST SE STE 101",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013773",
"telephone_number": "770-615-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "NATALIE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-10",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.