NPIMap

Individual provider Active NPI

Yonatan Eshetu, PT, DPT

  • Orthopedic Physical Therapist
  • Decatur, GA
National Provider Identifier
1497424105
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT015583 Issued in GA
Practice address
1045 Sycamore Dr
Decatur, GA 30030-1645
Phone
(404) 254-0961
NPI assigned
Sep 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT015583 GA Primary
Orthopedic Physical Therapist 2251X0800X GA

Addresses

Primary practice location

1045 Sycamore Dr
Decatur, GA 30030-1645

Mailing address

1434 Tilbury PL
Stone Mountain, GA 30083-1222
Phone (678) 862-4535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT015583GAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Occupational Health Centers of Georgia PC Past Accepting new patients
Occupational Health Centers of Georgia, P.C. Past Accepting new patients
Occupational Health Centers of Georgia, P.C. Past Accepting new patients
Occupational Health Centers of Georgia PC Past Accepting new patients
Occupational Health Centers of Georgia PC Past Accepting new patients
Occupational Health Centers of Georgia Past Accepting new patients
Occupational Health Centers of Georgia PC Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1497424105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 TILBURY PL",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300831222",
            "telephone_number": "678-862-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 SYCAMORE DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301645",
            "telephone_number": "404-254-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHETU",
        "first_name": "YONATAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT015583",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.