Active NPI
Teresa Ann Dawson, PT, DPT
- Physical Therapist
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012309
- Practice address
- 1205 Johnson Ferry Rd
Ste 130
Marietta, GA 30068-5418 - Phone
- (770) 565-3201
- Fax
- (770) 565-3203
- NPI assigned
- May 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24290 | MD | |
| Physical Therapist | 225100000X | PT012309 | GA | Primary |
Addresses
Primary practice location
1205 Johnson Ferry Rd
Ste 130
Marietta, GA 30068-5418
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other names 1
- Teresa Ann Tiannucci
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4220 Lower Roswell Rd
Marietta, GA 30068-4128
Phone (404) 351-5307
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24290 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Clinic of Ga PC | Physical Therapist | Current | Accepting new patients |
| Integrated Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Preferred Podiatry Group PC | Past | Accepting new patients |
Locations
855 North Point Pkwy
Alpharetta, GA 30005
Phone (952) 401-2336
2221 Peachtree Rd NE
Ste D336
Atlanta, GA 30309
4220 Lower Roswell Rd
Marietta, GA 30068
Phone (678) 946-4454
5600 Roswell Rd
Bldg I
Sandy Springs, GA 30342
Phone (404) 303-2323
Organizations & group practices 3
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.
-
- Physical Therapist
- Atlanta, GA
- NPI 1326247248
-
- Podiatrist
- Oak Harbor, WA
- NPI 1720037138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467331200000",
"number": "1689010456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-362-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 JOHNSON FERRY RD",
"address_2": "STE 130",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300685418",
"telephone_number": "770-565-3201",
"fax_number": "770-565-3203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "TERESA",
"middle_name": "ANN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-20",
"last_updated": "2016-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "24290",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TERESA",
"last_name": "TIANNUCCI",
"middle_name": "ANN",
"credential": "DPT",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 1, 2016; 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.