Active NPI
Anjali Malhotra
- Physical Therapist
- Roswell, GA
National Provider Identifier
1801403829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014918
- Practice address
- 655 Mansell Rd
Roswell, GA 30076-4868 - Phone
- (630) 888-4452
- NPI assigned
- Sep 24, 2020
- 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 | PT014918 | GA | Primary |
Addresses
Primary practice location
655 Mansell Rd
Roswell, GA 30076-4868
Mailing address
7043 Bennington LN
Cumming, GA 30041-6002
Phone (630) 888-4452
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT014918 | GA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1801403829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7043 BENNINGTON LN",
"city": "CUMMING",
"state": "GA",
"postal_code": "300416002",
"telephone_number": "630-888-4452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 MANSELL RD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764868",
"telephone_number": "630-888-4452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALHOTRA",
"first_name": "ANJALI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-24",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.