Individual provider Active NPI

Ashley Marie Fotiadis, PT, DPT

  • Physical Therapist
  • Newnan, GA
National Provider Identifier
1700312311
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014497 Issued in GA
Practice address
40 Greenway CT Ste Bandc
Newnan, GA 30265-2326
Phone
(770) 502-0195
Fax
(770) 502-8729
NPI assigned
May 3, 2017
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2017021435 MO
Physical Therapist 225100000X 11-05587 KS
Physical Therapist 225100000X PT014497 GA Primary

Addresses

Primary practice location

40 Greenway CT Ste Bandc
Newnan, GA 30265-2326

Mailing address

40 Greenway CT Ste Bandc
Newnan, GA 30265-2326
Phone (770) 502-0195

Other practice location 1

7932 N Oak Trfy Ste 212
Kansas City, MO 64118-1424
Phone (816) 420-8251

Other practice location 2

1755 Highway 34 E
Newnan, GA 30265
Phone (770) 254-7850

Other names 1

  • Ashley Marie Sebek Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200611002121 GA Practitioner - Physical Therapist in Private Practice 4082983382 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-05587KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates, Inc Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
Physiotherapy Associates Inc CurrentSince Oct 1, 2024 Accepting new patients
Physiotherapy Associates Inc Current Accepting new patients
Functional Pathways Preferred of Tennessee LLC Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients
Physiotherapy Associates Inc PastSince Aug 10, 2025 Accepting new patients
Physiotherapy Associates Inc PastSince Aug 10, 2025 Accepting new patients

Locations

966A Killian Hill Rd SW
Lilburn, GA 30047
Phone (770) 923-4815

2280 Highway 29 N
Newnan, GA 30265
Phone (770) 683-6833

40 Greenway Ct
Ste Bc
Newnan, GA 30265
Phone (770) 502-0195

10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2849

Organizations & group practices 6

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": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1700312311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 GREENWAY CT STE BANDC",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652326",
            "telephone_number": "770-502-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GREENWAY CT STE BANDC",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652326",
            "telephone_number": "770-502-0195",
            "fax_number": "770-502-8729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7932 N Oak Trfy Ste 212",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641181424",
            "country_code": "US",
            "telephone_number": "816-420-8251",
            "fax_number": "816-420-8207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1755 Highway 34 E",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "30265",
            "country_code": "US",
            "telephone_number": "770-254-7850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOTIADIS",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2017021435",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05587",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "SEBEK",
            "middle_name": "MARIE",
            "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 Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.