Individual provider Active NPI

Arnel M Enverga

  • Physical Therapist
  • Rockmart, GA
National Provider Identifier
1629738026
Registry record updated Dec 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
715 Calloway Dr
Rockmart, GA 30153-3594
Phone
(770) 684-8388
NPI assigned
Dec 27, 2021
Last updated
Dec 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 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 GA Primary

Addresses

Primary practice location

715 Calloway Dr
Rockmart, GA 30153-3594

Mailing address

715 Calloway Dr
Rockmart, GA 30153-3594
Phone (770) 684-8388

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Physical Therapy, LLC CurrentSince Feb 22, 2022 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Feb 22, 2022 Accepting new patients
Broad River Rehabilitation Physical Therapist CurrentSince May 30, 2024 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
Sierra Therapy Services, Inc. Physical Therapist Past Accepting new patients

Locations

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

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

500 Eagle Lake Trl
Rome, GA 30165
Phone (706) 728-3600

8259 Wicker Ave
Saint John, IN 46373
Phone (219) 365-6560

1 Pond St
Arden, NC 28704
Phone 82877452220027

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, 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": "1640563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1629738026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 CALLOWAY DR",
            "city": "ROCKMART",
            "state": "GA",
            "postal_code": "301533594",
            "telephone_number": "770-684-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 CALLOWAY DR",
            "city": "ROCKMART",
            "state": "GA",
            "postal_code": "301533594",
            "telephone_number": "770-684-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENVERGA",
        "first_name": "ARNEL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-27",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockmart, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.