Ameera Fujah, PT, DPT
Individual provider Active NPI Physical Therapist · Hapeville, GA
NPI 1447876230 · NPPES record last updated Jun 17, 2020
Key facts
- NPI
- 1447876230
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT014535 (GA)
- Practice address
- 1005 Virginia Ave
Hapeville, GA 30354-1326 - Phone
- (404) 762-1001
- NPI assigned
- Jun 17, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Georgia Luna Care Physical Therapy LLC
Practice addresses (Care Compare)
260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210517001614 | GA | Practitioner - Physical Therapist in Private Practice | 0749699064 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT014535 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Luna Care Physical Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Southeastern Swallowing Diagnostics | Physical Therapist | Current |
Accepting new patients |
| Emory Physical Therapy, LLC | Current |
Accepting new patients | |
| Emory Physical Therapy, LLC | Current |
Accepting new patients |
Locations
260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870
1968 Hawks Ln NE
Brookhaven, GA 30329
Phone (404) 251-2537
1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT014535 | GA | Yes |
Addresses
Primary practice location
1005 Virginia Ave
Hapeville, GA 30354-1326
Mailing address
5527 Pennybrook TRL
Stone Mountain, GA 30087-5700
Phone (401) 481-5399
Other providers in Hapeville, GA
- Keona Nicole Favis
- Paul L Flicker
- Darren W Flowers
- Reginald Keith Franklin
- Joi Freemont
- Fulton County Schools
- Tracy Gantlin-Monroy
- Samuel Gibson
- James Edward Golden II
- Trevis Gullatt
All providers in Hapeville, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.