Andre Chatman

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT005385 Issued in GA

Practice address

4534 Balto Way
Acworth, GA 30101-6303

Phone

(404) 625-5458

Fax

(770) 966-0973

NPI assigned

Nov 18, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Trinity Rehabilitation Services, Inc

  • Physical Therapist
  • Acworth, GA
  • NPI 1669625240
  NPD Authorized official
• Sierra Therapy Services, Inc.

  • Physical Therapist
  • Stone Mountain, GA
  • NPI 1083643449
  NPD (past)

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1760637862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4534 BALTO WAY",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016303",
            "telephone_number": "404-625-5458",
            "fax_number": "770-966-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4534 BALTO WAY",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016303",
            "telephone_number": "404-625-5458",
            "fax_number": "770-966-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATMAN",
        "first_name": "ANDRE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-18",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT005385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centerview Counseling, LLC
• Christopher Chan, DO
• Janene Channell
• Johnathan Langston Chappell, M.D.
• Charis Homecare Services LLC
• Jacquelyn Cheatham-Terry, D.O
• Children and Teen Dental Group
• Children'S Dental Ctr at Brookstone
• Chiropractic for Health, LLC
• Mwaba Chisela, APRN

• Physical Therapist in Acworth, GA
• Providers in Acworth, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.