Alexa Marie Davis, PT, DPT, ATC, CSCS

Individual provider Active NPI Physical Therapist · Marietta, GA

NPI 1760906192 · NPPES record last updated Jan 9, 2020

Key facts

NPI
1760906192
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT012983 (GA)
Practice address
1000 Johnson Ferry Rd Ste A115
Marietta, GA 30068-2110
Phone
(404) 367-2085
Fax
(770) 579-7060
NPI assigned
Jul 27, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Rehabilitation and Consulting Limited Partnership (16 clinicians)

Practice addresses (Care Compare)

1000 Johnson Ferry Rd
Suite A115
Marietta, GA 30068-2110
Phone (404) 367-2085

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20171004002757 GA Practitioner - Physical Therapist in Private Practice 7719252535 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT012983GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist Current
since Aug 3, 2017
Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist Current
since Aug 3, 2017
Accepting new patients

Locations

7423 Adairsville Hwy
Adairsville, GA 30103
Phone (770) 373-9315

1000 Johnson Ferry Rd
Ste A115
Marietta, GA 30068
Phone (404) 367-2085

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT012983 GA Yes

Addresses

Primary practice location

1000 Johnson Ferry Rd Ste A115
Marietta, GA 30068-2110

Mailing address

360 Log House CT
Roswell, GA 30075-4189
Phone (678) 596-3635

Other names

  • Alexa Marie Sarmir Former name

Other providers in Marietta, GA

All providers in Marietta, GA · Physical Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.