Individual provider Active NPI

Alyssa Shedlarski, DPT

  • Physical Therapist
  • Acworth, GA
National Provider Identifier
1760848816
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016455 Issued in GA
Practice address
5681 Bay Harbor TRL NW
Acworth, GA 30101-7602
Phone
(205) 224-2115
NPI assigned
Jan 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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 PT016455 GA Primary

Addresses

Primary practice location

5681 Bay Harbor TRL NW
Acworth, GA 30101-7602

Mailing address

5681 Bay Harbor TRL NW
Acworth, GA 30101-7602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220104000024 AL Practitioner - Physical Therapist in Private Practice 4082917810 Reassigns benefits to 2 organizations
I20231026001110 GA Practitioner - Physical Therapist in Private Practice 4082917810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

913 N Tennessee St
Suite 104
Cartersville, GA 30120-2477
Phone (205) 224-2115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings of Alabama, LLC Physical Therapist CurrentSince Jan 30, 2023 Accepting new patients
Therapy South Lakeview LLC Physical Therapist CurrentSince Nov 15, 2021 Accepting new patients
Tend and Release Physical Therapy and Wellness Physical Therapist CurrentSince Aug 30, 2023 Accepting new patients
Ergoscience, Inc Past Accepting new patients
Agilitas USA Inc Physical Therapist Past Accepting new patients
A Healing Place Bham LLC PastSince Sep 20, 2022 Accepting new patients

Locations

720 32nd St S
Birmingham, AL 35233
Phone (205) 731-2177

1877 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 727-1701

2823 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 408-1713

106 6th St S
Ste A
Oneonta, AL 35121
Phone (205) 460-3817

106 6th St S
Oneonta, AL 35121
Phone (205) 460-3817

913 N Tennessee St
Ste 104
Cartersville, GA 30120
Phone (205) 224-2115

790 Remington Blvd
Bolingbrook, IL 60440

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1760848816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5681 BAY HARBOR TRL NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5681 BAY HARBOR TRL NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017602",
            "telephone_number": "205-224-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEDLARSKI",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-05",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.

Verify at the official NPI Registry.