Individual provider Active NPI

Nehama Schondorf, DPT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1568721389
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009654 Issued in GA
Practice address
2310 Parklake Dr NE Ste 175
Atlanta, GA 30345-2913
Phone
(678) 462-1190
NPI assigned
May 14, 2012
Last updated
Jun 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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 PT009654 GA Primary

Addresses

Primary practice location

2310 Parklake Dr NE Ste 175
Atlanta, GA 30345-2913

Mailing address

2187 Shasta Way NE
Atlanta, GA 30345-2601
Phone (678) 462-1190

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT009654GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nehama Schondorf DPT LLC Physical Therapist CurrentSince Jun 27, 2021 Accepting new patients
Restorative Therapy & Wellness, LLC Physical Therapist PastSince Oct 7, 2017 Accepting new patients

Locations

2310 Parklake Dr NE
Ste 175
Atlanta, GA 30345
Phone (678) 462-1190

Organizations & group practices 2

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": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1568721389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2187 SHASTA WAY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452601",
            "telephone_number": "678-462-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 PARKLAKE DR NE STE 175",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452913",
            "telephone_number": "678-462-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHONDORF",
        "first_name": "NEHAMA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-14",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009654",
            "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 Jun 25, 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.