Individual provider Active NPI

Dorothy Travasos Debardeleben, PT, DPT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1679203939
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015974 Issued in GA
Practice address
999 Brady Ave NW Ste 11
Atlanta, GA 30318-5607
Phone
(678) 459-3743
Fax
(678) 889-5098
NPI assigned
Jun 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 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 PT015974 GA Primary

Addresses

Primary practice location

999 Brady Ave NW Ste 11
Atlanta, GA 30318-5607

Mailing address

495 Winn Way Ste 120
Decatur, GA 30030-1709
Phone (404) 389-0077

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT015974GAMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1679203939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 WINN WAY STE 120",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301709",
            "telephone_number": "404-389-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 BRADY AVE NW STE 11",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185607",
            "telephone_number": "678-459-3743",
            "fax_number": "678-889-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBARDELEBEN",
        "first_name": "DOROTHY",
        "middle_name": "TRAVASOS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.