Individual provider Active NPI

Victoria Ivens, DPT

  • Physical Therapist
  • Newnan, GA
National Provider Identifier
1629581129
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015181 Issued in GA
Practice address
90 Glenda Trce Ste C
Newnan, GA 30265-3868
Phone
(470) 683-4640
Fax
(470) 683-4639
NPI assigned
Nov 7, 2017
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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 PT015181 GA Primary

Addresses

Primary practice location

90 Glenda Trce Ste C
Newnan, GA 30265-3868

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644

Other names 1

  • Victoria Oldani Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210401001477 GA Practitioner - Physical Therapist in Private Practice 1153689724 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1280 Hwy 74 S
Suite 210
Peachtree City, GA 30269-3077
Phone (770) 486-6398

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015181GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Nov 5, 2025 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Nov 5, 2025 Accepting new patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 5, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Nov 5, 2025 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Sep 10, 2023 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Oct 25, 2021 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Nov 5, 2025 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Sep 10, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Nov 5, 2025 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Nov 5, 2025 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

12850 Highway 9 N
Ste 1050
Alpharetta, GA 30004
Phone (678) 332-5800

21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

1867 Harvard Ave
College Park, GA 30337
Phone (404) 635-6021

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

975 Dawsonville Hwy
Ste 6
Gainesville, GA 30501
Phone (470) 768-8100

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

90 Glenda Trce
Ste C
Newnan, GA 30265
Phone (470) 683-4640

1280 Highway 74 S
Ste 210
Peachtree City, GA 30269
Phone (770) 486-6398

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

1060 Eagles Landing Pkwy
Ste 130
Stockbridge, GA 30281
Phone (470) 369-5770

1498 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 289-0525

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

1854 W Auburn Rd
Ste 200
Rochester Hills, MI 48309
Phone (248) 243-3330

Organizations & group practices 12

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": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1629581129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 GLENDA TRCE STE C",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302653868",
            "telephone_number": "470-683-4640",
            "fax_number": "470-683-4639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVENS",
        "first_name": "VICTORIA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "OLDANI",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.