Individual provider Active NPI

Evan Schneider, DPT

  • Sports Physical Therapist
  • Atlanta, GA
National Provider Identifier
1447659552
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
PT015362 Issued in GA
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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
60665607WAMDPhysical Therapist
PT015362GAMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BJT and Associates Physical Therapist CurrentSince Mar 6, 2021 Accepting new patients
Physiotherapy Associates Inc CurrentSince Feb 25, 2025 Accepting new patients
Physiotherapy Associates Inc CurrentSince Feb 25, 2025 Accepting new patients
BJT & Associates Physical Therapist CurrentSince Mar 6, 2021 Accepting new patients
Atlanta Rehabilitation and Performance Center CurrentSince Mar 14, 2022 Accepting new patients
Atlanta Rehabilitation and Performance Center CurrentSince Mar 14, 2022 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)CodeLicenseStatePrimary
Physical Therapist 225100000X 60665607 WA
Sports Physical Therapist 2251S0007X P15096 NC
Sports Physical Therapist 2251S0007X PT015362 GA Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.