Active NPI
Evan Schneider, DPT
- Sports Physical Therapist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- PT015362
- Practice address
- 464 Cherokee Ave SE Ste 204
Atlanta, GA 30312-3260 - Phone
- (470) 815-0587
- Fax
- (678) 228-1478
- NPI assigned
- Aug 14, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Clinic/Center
- Cleveland, GA
- NPI 1982797494
GA
-
- Physical Therapy Clinic/Center
- Lawrenceville, GA
- NPI 1013789205
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210609003208 | GA | Practitioner - Physical Therapist in Private Practice | 0648491878 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60665607 | WA | MD | Physical Therapist |
| PT015362 | GA | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BJT and Associates | Physical Therapist | Current | Accepting new patients |
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| BJT & Associates | Physical Therapist | Current | Accepting new patients |
| Atlanta Rehabilitation and Performance Center | Current | Accepting new patients | |
| Atlanta Rehabilitation and Performance Center | Current | Accepting new patients |
Locations
2669 Osborne Rd NE
Brookhaven, GA 30319
Phone (404) 477-7777
2669 Osborne Rd NE
Ste A
Brookhaven, GA 30319
Phone (404) 477-4777
5553 Peachtree Rd
Ste 105
Chamblee, GA 30341
Phone (770) 687-2160
2801 N Decatur Rd
Ste 230
Decatur, GA 30033
Phone (404) 294-7211
5342 Tilly Mill Rd
Dunwoody, GA 30338
Phone (678) 812-4031
335 Upper Riverdale Rd
Ste B10
Jonesboro, GA 30236
Phone (770) 907-4753
966A Killian Hill Rd SW
Lilburn, GA 30047
Phone (770) 923-4815
4220 Mundy Mill Pl
Ste 2B
Oakwood, GA 30566
Phone (678) 450-9933
2400 Wisteria Dr
Ste A
Snellville, GA 30078
Phone (770) 982-0102
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 60665607 | WA | |
| Sports Physical Therapist | 2251S0007X | P15096 | NC | |
| Sports Physical Therapist | 2251S0007X | PT015362 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
464 Cherokee Ave SE Ste 204
Atlanta, GA 30312-3260
Mailing address
464 Cherokee Ave SE Ste 204
Atlanta, GA 30312-3260
Phone (470) 815-0587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 20, 2023.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1447659552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 CHEROKEE AVE SE STE 204",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303123260",
"telephone_number": "470-815-0587",
"fax_number": "678-228-1478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 CHEROKEE AVE SE STE 204",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303123260",
"telephone_number": "470-815-0587",
"fax_number": "678-228-1478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHNEIDER",
"first_name": "EVAN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-14",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60665607",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "NC",
"license": "P15096",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "GA",
"license": "PT015362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.