Active NPI
Avie Catherine Churchwell, DPT
- Physical Therapist
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015325
- Practice address
- 141 Sams St Ste a
Decatur, GA 30030-4101 - Phone
- (404) 296-8511
- NPI assigned
- Jun 24, 2021
- 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 | PT015325 | GA | Primary |
Addresses
Primary practice location
141 Sams St Ste a
Decatur, GA 30030-4101
Mailing address
141 Sams St Ste a
Decatur, GA 30030-4101
Phone (404) 296-8511
Other practice location 1
3007 Panola Rd Ste C
Lithonia, GA 30038-2492
Phone (770) 987-1122
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Emory University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
141 Sams St
Suite a
Decatur, GA 30030-4101
Phone (404) 296-8511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT015325 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Decatur Hand and Physical Therapy Specialists Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Drayer Physical Therapy Georgia LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
141 Sams St
Ste A
Decatur, GA 30030
Phone (404) 296-8511
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
3007 Panola Rd
Ste C
Lithonia, GA 30038
Phone (770) 987-1122
3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
Organizations & group practices 6
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
- Decatur, GA
- NPI 1174538607
-
- Physical Therapy Clinic/Center
- Duluth, GA
- NPI 1083666903
-
- Physical Therapist
- Loganville, GA
- NPI 1962830406
-
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
-
- Physical Therapist
- Riverdale, GA
- NPI 1427000777
-
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1417526260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 SAMS ST STE A",
"city": "DECATUR",
"state": "GA",
"postal_code": "300304101",
"telephone_number": "404-296-8511",
"fax_number": "404-296-8514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 SAMS ST STE A",
"city": "DECATUR",
"state": "GA",
"postal_code": "300304101",
"telephone_number": "404-296-8511"
}
],
"practiceLocations": [
{
"address_1": "3007 Panola Rd Ste C",
"address_purpose": "LOCATION",
"city": "Lithonia",
"state": "GA",
"postal_code": "300382492",
"country_code": "US",
"telephone_number": "770-987-1122",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHURCHWELL",
"first_name": "AVIE",
"middle_name": "CATHERINE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-24",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT015325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.