Individual provider Active NPI

Tawiah Shukura Upton, D.P.T.

  • Physical Therapist
  • Decatur, AL
National Provider Identifier
1801007414
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH11773 Issued in AL
Practice address
1350 14TH Ave SE
Decatur, AL 35601-4364
Phone
(256) 355-6911
NPI assigned
May 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT007889 GA
Physical Therapist 225100000X PTH11773 AL Primary

Addresses

Primary practice location

1350 14TH Ave SE
Decatur, AL 35601-4364

Mailing address

107 Lazaretto CT
Harvest, AL 35749-4007
Phone (404) 514-8351

Other practice location 1

107 Lazaretto Ct
Harvest, AL 35749-4007
Phone (404) 514-8351

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bhanja Enterprises LLC Physical Therapist CurrentSince Aug 29, 2022 Accepting new patients
Atlanta One Stop Therapy LLC Physical Therapist CurrentSince Aug 29, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1801007414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 LAZARETTO CT",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "357494007",
            "telephone_number": "404-514-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 14TH AVE SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014364",
            "telephone_number": "256-355-6911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Lazaretto Ct",
            "address_purpose": "LOCATION",
            "city": "Harvest",
            "state": "AL",
            "postal_code": "357494007",
            "country_code": "US",
            "telephone_number": "404-514-8351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UPTON",
        "first_name": "TAWIAH",
        "middle_name": "SHUKURA",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007889",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.