Individual provider Active NPI

Andrew Harrison Weinbaum, DPT

  • Physical Therapist
  • Marietta, GA
National Provider Identifier
1619862257
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017762 Issued in GA
Practice address
2745 Sandy Plains Rd Ste 154
Marietta, GA 30066-4396
Phone
(770) 783-1171
NPI assigned
Jun 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 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 PT017762 GA Primary

Addresses

Primary practice location

2745 Sandy Plains Rd Ste 154
Marietta, GA 30066-4396

Mailing address

2745 Sandy Plains Rd Ste 154
Marietta, GA 30066-4396
Phone (770) 783-1171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250620002017 GA Practitioner - Physical Therapist in Private Practice 0143732727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
2DRS Plus Investment Group, LLCGroup PAC ID 2567845951, 10 clinicians

Practice addresses (Care Compare)

2745 Sandy Plains Rd
Suite 154
Marietta, GA 30066-4396
Phone (770) 783-1171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
2DRS Plus Investment Group, LLC CurrentSince Jun 10, 2025 Accepting new patients

Locations

3940 Cherokee St NW
Ste 201
Kennesaw, GA 30144
Phone (770) 573-3212

2745 Sandy Plains Rd
Ste 154
Marietta, GA 30066
Phone (770) 783-1171

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": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1619862257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 SANDY PLAINS RD STE 154",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664396",
            "telephone_number": "770-783-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 SANDY PLAINS RD STE 154",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664396",
            "telephone_number": "770-783-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBAUM",
        "first_name": "ANDREW",
        "middle_name": "HARRISON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017762",
            "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 Jun 12, 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.