Sophia Anyanwu-Tyson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT014204 Issued in GA

Practice address

5255 Snapfinger Park Dr Ste 130
Decatur, GA 30035-4066

Phone

(770) 322-7003

NPI assigned

Nov 25, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Benchmark Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Duluth, GA
  • NPI 1083666903
  NPD
• Benchmark Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Conyers, GA
  • NPI 1184924854
  NPD
• Independent Physical Therapy of Georgia, LLC

  • Occupational Therapist
  • Gainesville, GA
  • NPI 1306013941

  Physical Therapist

  NPD
• Independent Physical Therapy of Georgia, LLC

  • Physical Therapist
  • Fort Oglethorpe, GA
  • NPI 1780636068
  NPD
• Independent Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Douglasville, GA
  • NPI 1124363304
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1477199479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 SNAPFINGER PARK DR STE 130",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354066",
            "telephone_number": "770-322-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 SNAPFINGER PARK DR STE 130",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354066",
            "telephone_number": "770-322-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYANWU-TYSON",
        "first_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randal Paige Antle, PA-C
• Ana Gabriela Antun, M.D.
• Dashia Antunes, MS, RDN
• Anxiety and Ocd Solutions, LLC
• Anyalisse Home Care
• Henry Anyanwu
• Carly Hanks Aoki, PHD
• Aop Associates LLC
• Aopa, LLC
• Apch Private Care LLC

• Physical Therapist in Decatur, GA
• Providers in Decatur, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.