Ansley Coles, PT, DPT
Individual provider Active NPI Physical Therapist · Atlanta, GA
NPI 1700613239 · NPPES record last updated Sep 18, 2024
Key facts
- NPI
- 1700613239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT017393 (GA)
- Practice address
- 1000 White St SW Ste 300
Atlanta, GA 30310-2634 - Phone
- (470) 905-2800
- Fax
- (470) 905-2801
- NPI assigned
- Sep 18, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Team Rehabilitation Services LLC
Practice addresses (Care Compare)
1000 White St SW
Suite 300
Atlanta, GA 30310-2634
Phone (470) 905-2800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241223000071 | GA | Practitioner - Physical Therapist in Private Practice | 7012444599 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT017393 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Rehabilitation Services, LLC | Physical Therapist | Current |
Accepting new patients |
| Team Rehabilitation Services, LLC | Physical Therapist | Past |
Accepting new patients |
Locations
1000 White St SW
Ste 300
Atlanta, GA 30310
Phone (470) 905-2800
975 Dawsonville Hwy
Ste 6
Gainesville, GA 30501
Phone (470) 768-8100
33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT017393 | GA | Yes |
Addresses
Primary practice location
1000 White St SW Ste 300
Atlanta, GA 30310-2634
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Other providers in Atlanta, GA
- Selena Coleman
- Shannon Coleman
- Tracee M Coleman
- Zeudiann L.P. Coleman
- Naomi Rene' Coles-Strickland
- Claire D Coles
- Martin Coles
- Hannah Coletta
- Joanell Coley
- Sierra T Coley
All providers in Atlanta, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.