Active NPI
Martha Sellers, PHYSICAL THERAPIST
- Physical Therapist
- Marietta, GA
National Provider Identifier
1780258178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 002857
- Practice address
- 220 Cobb Pkwy N Ste 400
Marietta, GA 30062-3579 - Phone
- (770) 424-7125
- NPI assigned
- May 19, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 002857 | GA | Primary |
Addresses
Primary practice location
220 Cobb Pkwy N Ste 400
Marietta, GA 30062-3579
Mailing address
4464 Dobbs Crossing
Marietta, GA 30068
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Marietta | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002857 | GA | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1780258178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4464 DOBBS CROSSING",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 COBB PKWY N STE 400",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300623579",
"telephone_number": "770-424-7125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLERS",
"first_name": "MARTHA",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-19",
"last_updated": "2021-05-19",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "002857",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Marietta",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "220 Cobb Pkwy N Ste 400",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300623579",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.