Charetta Shawnette Oliver, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012193 Issued in GA

Practice address

2121 Fountain Dr
Suite E
Snellville, GA 30078-7023

Phone

(770) 736-3330

NPI assigned

May 12, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Advance Rehabilitation & Consulting Limited Partnership

  • Physical Therapist
  • Saint Marys, GA
  • NPI 1235434283
  NPD (past)
• Dekalb Comprehensive Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Stonecrest, GA
  • NPI 1639384225
  NPD (past)
• Great Hands Inc

  dba Physical Therapy and Sports Assessment Center

  • Physical Therapist
  • Silver Spring, MD
  • NPI 1861567018
  NPD (past)

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1518259332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3447 N DRUID HILLS RD",
            "address_2": "L",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333764",
            "telephone_number": "301-520-6458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 FOUNTAIN DR",
            "address_2": "SUITE E",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787023",
            "telephone_number": "770-736-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "CHARETTA",
        "middle_name": "SHAWNETTE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "871175",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseline Ogheneseme Okala, MSW
• Cynthia Okoro, MD
• Agatha Nonye Okoye
• Christiana K. Olaga-Buah, MS, CRC, LPC, CGRS
• Brianna Olaniyan, CLD
• Olivia F Mulligan, MD, PC
• Maureen Lee Olson, MD
• Oby Omesiete, RN
• Helen Omorogbe
• Maryrose Onaga

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.