Individual provider Active NPI

Sasha Tadros, DPT

  • Physical Therapist
  • Marietta, GA
National Provider Identifier
1508442898
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
965 Piedmont Rd NE Ste 200
Marietta, GA 30066-5493
Phone
(770) 575-2212
Fax
(770) 575-2547
NPI assigned
Mar 18, 2021
Last updated
May 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

965 Piedmont Rd NE Ste 200
Marietta, GA 30066-5493

Mailing address

500 Lanier Ave W Ste 303
Fayetteville, GA 30214-7636
Phone (770) 716-8885

Other practice location 1

402 Bombay Ln
Roswell, GA 30076-5826
Phone (678) 878-2503

Other practice location 2

500 Lanier Ave W Ste 303
Fayetteville, GA 30214-7636
Phone (770) 716-8885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210412001409 GA Practitioner - Physical Therapist in Private Practice 3375951379 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pt360 Atl LLCGroup PAC ID 6406245489, 8 clinicians

Practice addresses (Care Compare)

3400 Old Milton Pkwy
Suite C390
Alpharetta, GA 30005-3714
Phone (404) 464-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pt360 Atl LLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Leger Therapy Services Inc. CurrentSince Mar 24, 2021 Accepting new patients
DCN1, LLC Physical Therapist CurrentSince Sep 19, 2022 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste C390
Alpharetta, GA 30005
Phone (404) 464-8300

5576 Peachtree Rd
Ste 103
Chamblee, GA 30341
Phone (404) 213-1683

500 Lanier Ave W
Ste 303
Fayetteville, GA 30214
Phone (770) 716-8885

965 Piedmont Rd NE
Ste 200
Marietta, GA 30066
Phone (770) 575-2212

402 Bombay Ln
Roswell, GA 30076
Phone (678) 878-2503

4920 Roswell Rd
Ste 36
Sandy Springs, GA 30342
Phone (404) 464-8300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1508442898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LANIER AVE W STE 303",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147636",
            "telephone_number": "770-716-8885",
            "fax_number": "770-716-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 PIEDMONT RD NE STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300665493",
            "telephone_number": "770-575-2212",
            "fax_number": "770-575-2547"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 Bombay Ln",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300765826",
            "country_code": "US",
            "telephone_number": "678-878-2503",
            "fax_number": "678-878-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Lanier Ave W Ste 303",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302147636",
            "country_code": "US",
            "telephone_number": "770-716-8885",
            "fax_number": "770-716-7425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TADROS",
        "first_name": "SASHA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.