Emily Fatemeh Omidy, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013753 Issued in GA

Practice address

1205 Johnson Ferry Rd Ste 130
Marietta, GA 30068-5401

Phone

(770) 565-3201

Fax

(770) 565-3203

NPI assigned

Oct 17, 2018

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

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.

• PT Solutions of Acworth, LLC

  • Physical Therapist
  • Athens, GA
  • NPI 1144772625
  NPD (past)

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1487120408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214915",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 JOHNSON FERRY RD STE 130",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685401",
            "telephone_number": "770-565-3201",
            "fax_number": "770-565-3203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Gentilly Blvd",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301208522",
            "country_code": "US",
            "telephone_number": "859-913-3411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMIDY",
        "first_name": "EMILY",
        "middle_name": "FATEMEH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bolanle Olumide
• Olympian Surgical Assistants
• Prisilla Omana, RBT
• Omega Health Care LLC
• Oluyele Jonathan Omidina, PT
• Omni Solutions LLC
• Sarah Omodele, DNP, APRN, FNP-C
• Omokhuale Omokhodion, M.D
• Peace Omowonuola
• Oms Primary Care Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.