Individual provider Active NPI

Donald Showalter, PT, CHT

  • Hand Physical Therapist
  • Covington, GA
National Provider Identifier
1811930506
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Physical TherapistTaxonomy code 2251H1200X
License
PT000649 Issued in GA
Practice address
7201 Turner Lake Rd NE Ste 13
Covington, GA 30014
Phone
(470) 444-1609
NPI assigned
Jun 13, 2006
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Physical Therapist 2251H1200X PT000649 GA Primary
Orthopedic Physical Therapist 2251X0800X PT000649 GA

Addresses

Primary practice location

7201 Turner Lake Rd NE Ste 13
Covington, GA 30014

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

2415 Wall St SE
Ste A
Conyers, GA 30013-6384
Phone (770) 388-9249

Other identifiers 3

IdentifierTypeStateIssuer
00975477BMedicaidGA
000975477AMedicaidGA
650023207OtherGARAIL ROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151214001525 GA Practitioner - Physical Therapist in Private Practice 4082915277 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York University School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1025 E W Connector
Suite 406
Austell, GA 30106-8531
Phone (770) 384-1001

7201 Turner Lake Rd NW
Suite 13
Covington, GA 30014-2067
Phone (470) 444-1609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0649GAMDCounselor
PT000649GAMDHand Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy, Inc CurrentSince Jan 16, 2025 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Jan 16, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Hand CurrentSince Jan 16, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC CurrentSince Jan 16, 2025 Accepting new patients
Agilitas USA, Inc Hand CurrentSince Jan 16, 2025 Accepting new patients
Independent Physical Therapy of Georgia, LLC Current Accepting new patients
Agilitas USA Inc Hand CurrentSince Jan 16, 2025 Accepting new patients
Proactive Therapy of North Carolina Inc PastSince Aug 1, 2020 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

2120 W Spring St
Ste 1600
Monroe, GA 30655
Phone (678) 712-3686

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1811930506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 TURNER LAKE RD NE STE 13",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "30014",
            "telephone_number": "470-444-1609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2415 Wall St SE",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300136384",
            "country_code": "US",
            "telephone_number": "770-388-9249",
            "fax_number": "770-483-3350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOWALTER",
        "first_name": "DONALD",
        "name_prefix": "Mr.",
        "credential": "PT, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "GA",
            "license": "PT000649",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT000649",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00975477B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000975477A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "650023207",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.