Individual provider Active NPI

Paul A Mattson Jr., P.T.

  • Physical Therapist
  • Marietta, GA
National Provider Identifier
1609822899
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT002377 Issued in GA
Practice address
335 Roselane St NW Ste 201
Marietta, GA 30060-7902
Phone
(770) 424-6787
Fax
(770) 426-7925
NPI assigned
May 26, 2006
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 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 PT002377 GA Primary

Addresses

Primary practice location

335 Roselane St NW Ste 201
Marietta, GA 30060-7902

Mailing address

335 Roselane St NW Ste 201
Marietta, GA 30060-7902
Phone (770) 424-6787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060530000087 GA Practitioner - Physical Therapist in Private Practice 8628981594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Venture Physical Therapy of Marietta, LLCGroup PAC ID 7810244969, 3 clinicians
Resurgens, LLCGroup PAC ID 1153224142, 184 clinicians

Practice addresses (Care Compare)

335 Roselane St NW
Suite 200
Marietta, GA 30060-7902
Phone (770) 424-6787

5671 Peachtree Dunwoody Rd
Suite 900
Atlanta, GA 30342-5022

5671 Peachtree Dunwoody Rd NE
Suite 900 950
Atlanta, GA 30342-5022
Phone (404) 847-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2377GAMDPsychologist
PT002377GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Resurgens, LLC CurrentSince Sep 1, 2025 Accepting new patients
Venture Physical Therapy of Marietta LLC Physical Therapist CurrentSince Jul 1, 2018 Accepting new patients
Resurgens, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

3155 North Point Pkwy
Ste D100
Alpharetta, GA 30005
Phone (770) 475-7272

5553 Peachtree Rd
Ste 105
Chamblee, GA 30341
Phone (770) 687-2160

335 Roselane St NW
Ste 200
Marietta, GA 30060
Phone (770) 424-6787

335 Roselane St NW
Ste 201
Marietta, GA 30060
Phone (470) 259-5226

631 Campbell Hill St NW
Ste 200
Marietta, GA 30060
Phone (770) 424-6787

528 Valley Hill Rd SW
Riverdale, GA 30274
Phone (678) 712-3072

5671 Ptree Dunwoody Rd NE
Ste 700
Sandy Springs, GA 30342
Phone (404) 459-3732

5671 Ptree Dunwoody Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 531-8590

295 Molly Ln
Ste 140
Woodstock, GA 30189
Phone (770) 517-2288

Organizations & group practices 4

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1609822899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 ROSELANE ST NW STE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607902",
            "telephone_number": "770-424-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 ROSELANE ST NW STE 201",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607902",
            "telephone_number": "770-424-6787",
            "fax_number": "770-426-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTSON",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT002377",
            "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 Aug 5, 2025; 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.