Individual provider Active NPI

Joshua Ajiero, PT

  • Physical Medicine & Rehabilitation Physician
  • Atlanta, GA
National Provider Identifier
1841090438
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT017578 Issued in GA
Practice address
3890 Redwine Rd SW Ste 114
Atlanta, GA 30331-5583
Phone
(404) 344-7880
Fax
(404) 344-7881
NPI assigned
Mar 14, 2025
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT017578 GA Primary

Addresses

Primary practice location

3890 Redwine Rd SW Ste 114
Atlanta, GA 30331-5583

Mailing address

3890 Redwine Rd SW Ste 114
Atlanta, GA 30331-5583
Phone (404) 344-7880

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT017578GAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Sports Medicine and Rehabilitation, LLC CurrentSince Mar 20, 2025 Accepting new patients

Locations

3890 Redwine Rd SW
Ste 114
Atlanta, GA 30331
Phone (404) 344-7880

Organizations & group practices 1

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": "1741910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1841090438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 REDWINE RD SW STE 114",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315583",
            "telephone_number": "404-344-7880",
            "fax_number": "404-344-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 REDWINE RD SW STE 114",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315583",
            "telephone_number": "404-344-7880",
            "fax_number": "404-344-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJIERO",
        "first_name": "JOSHUA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "PT017578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.