Individual provider Active NPI

Alisha Danielle White, DPT

  • Physical Therapist
  • Suwanee, GA
National Provider Identifier
1821782319
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2780 W Village Dr Ste G
Suwanee, GA 30024-5536
Phone
(470) 533-4610
Fax
(678) 691-8501
NPI assigned
Jun 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2780 W Village Dr Ste G
Suwanee, GA 30024-5536

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

4021 McGinnis Ferry Rd Apt 724A
Suwanee, GA 30024-8405
Phone (334) 494-0199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230721000208 GA Practitioner - Physical Therapist in Private Practice 2163882275 Reassigns benefits to 3 organizations
I20260420001797 DC Practitioner - Physical Therapist in Private Practice 2163882275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Luna Care Physical Therapy LLCGroup PAC ID 4082027727, 167 clinicians
MCM Rehabilitation LLCGroup PAC ID 5294798336, 58 clinicians

Practice addresses (Care Compare)

260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175

2780 W Village Dr
Suite G
Suwanee, GA 30024-5536
Phone (470) 533-4610

Merit-based Incentive Payment System (MIPS)

Final score
86.7 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Physical Therapy, LLC CurrentSince Feb 2, 2026 Accepting new patients
MCM Rehabilitation, LLC. Physical Therapist CurrentSince Jun 26, 2023 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Feb 2, 2026 Accepting new patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 23, 2026 Accepting new patients
MCM Rehabilitation LLC CurrentSince Jun 26, 2023 Accepting new patients

Locations

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

1968 Hawks Ln NE
Brookhaven, GA 30329
Phone (404) 251-2537

3647 Browns Bridge Rd
Ste 105B
Cumming, GA 30028
Phone (678) 208-3188

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

5855 State Bridge Rd
Ste 200
Johns Creek, GA 30097
Phone (770) 225-0732

7775 McGinnis Ferry Rd
Ste 103
Johns Creek, GA 30024
Phone (678) 537-6881

3154 Johnson Ferry Rd
Ste 100
Marietta, GA 30062
Phone (678) 256-0758

97 Gateway Business Park Dr
Ringgold, GA 30736
Phone (706) 937-5771

2780 W Village Dr
Ste G
Suwanee, GA 30024
Phone (470) 533-4610

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cr
Chicago, IL 60674

Organizations & group practices 7

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": "1686096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1821782319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 W VILLAGE DR STE G",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245536",
            "telephone_number": "470-533-4610",
            "fax_number": "678-691-8501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4021 McGinnis Ferry Rd Apt 724A",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300248405",
            "country_code": "US",
            "telephone_number": "334-494-0199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ALISHA",
        "middle_name": "DANIELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-07",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.