Individual provider Active NPI

Rahul Marwaha, PT

  • Physical Therapist
  • Woodstock, GA
National Provider Identifier
1598710444
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010597 Issued in GA
Practice address
655 Molly LN Ste 100
Woodstock, GA 30189-6519
Phone
(770) 517-1080
Fax
(302) 998-7498
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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 PT010597 GA Primary

Addresses

Primary practice location

655 Molly LN Ste 100
Woodstock, GA 30189-6519

Mailing address

2910 Holly Pointe CT
Marietta, GA 30062-6699
Phone (302) 220-0884

Other identifiers 4

IdentifierTypeStateIssuer
000100919OtherDEDPCI
3748322000OtherDEIBC
P00359634OtherDEMEDICARE RAILROAD
1598710444MedicaidDE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250314002902 GA Practitioner - Physical Therapist in Private Practice 8224045893 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT010597GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc CurrentSince Mar 7, 2025 Accepting new patients
Physiotherapy Associates Inc CurrentSince Mar 7, 2025 Accepting new patients
Dynamic Therapy Services LLC Physical Therapist Past Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist Past Accepting new patients
Dynamic Physical Therapy Physical Therapist Past Accepting new patients

Locations

966A Killian Hill Rd SW
Lilburn, GA 30047
Phone (770) 923-4815

655 Molly Ln
Ste 100
Woodstock, GA 30189
Phone (770) 517-1080

Organizations & group practices 5

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1598710444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 HOLLY POINTE CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626699",
            "telephone_number": "302-220-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 MOLLY LN STE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896519",
            "telephone_number": "770-517-1080",
            "fax_number": "302-998-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARWAHA",
        "first_name": "RAHUL",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPCI",
            "identifier": "000100919",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "3748322000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00359634",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598710444",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.