Individual provider Active NPI

Linda Tran, DPT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1528844909
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016769 Issued in GA
Practice address
4920 Roswell Rd Ste 36
Atlanta, GA 30342-2636
Phone
(404) 464-8300
NPI assigned
Sep 1, 2023
Reactivated
Sep 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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 PT016769 GA Primary

Addresses

Primary practice location

4920 Roswell Rd Ste 36
Atlanta, GA 30342-2636

Mailing address

437 Warren Rd
Lawrenceville, GA 30044-5783
Phone (404) 935-2358

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230925002664 GA Practitioner - Physical Therapist in Private Practice 4789038779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Philadelphia College of Osteopathic Medicine, 2023
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)

4920 Roswell Rd
Suite 36
Atlanta, GA 30342-2636
Phone (404) 464-8300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016769GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pt360 Atl LLC Physical Therapist CurrentSince Oct 2, 2023 Accepting new patients

Locations

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

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

Organizations & group practices 1

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": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1528844909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 WARREN RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445783",
            "telephone_number": "404-935-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 ROSWELL RD STE 36",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422636",
            "telephone_number": "404-464-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "LINDA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-01",
        "deactivation_date": "2023-09-01",
        "reactivation_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.