Charity Michelle Terrelonge, PT-DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013360 Issued in GA

Practice address

1600 Medical Way Ste 150
Snellville, GA 30078-2166

Phone

(770) 978-5328

NPI assigned

Sep 14, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Charity Michelle Adams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1821546250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL WAY STE 150",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782166",
            "telephone_number": "770-978-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL WAY STE 150",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782166",
            "telephone_number": "770-978-5328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4090 Mapleshade Lane",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "75093",
            "country_code": "US",
            "telephone_number": "972-255-5588",
            "fax_number": "214-313-9225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRELONGE",
        "first_name": "CHARITY",
        "middle_name": "MICHELLE",
        "credential": "PT-DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1279111",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARITY",
            "last_name": "ADAMS",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosalie Beacher Teele, LPN
• Ayodele Morenike Tekobo
• Tele Urgent Care of America
• Tender Care Helth Services, LLC
• Poutheavy Lat Tep-Rutkowski, MS, RD, LD
• Adesegun O Tewogbade, DMD
• Tara Tewogbade, DDS
• Alexa Nicole Thayer, APC
• The Croom Legacy Center, LLC
• The Hair Recovery Clinic RX LLC

• Physical Therapist in Snellville, GA
• Providers in Snellville, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.