Active NPI
Adria Wofford, PT, DPT
- Physical Therapist
- Woodstock, GA
National Provider Identifier
1871268607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 12201 Highway 92 Ste C
Woodstock, GA 30188-7141 - Phone
- (470) 632-8335
- Fax
- (470) 632-8327
- NPI assigned
- Aug 13, 2021
- Last updated
- Aug 13, 2021
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
12201 Highway 92 Ste C
Woodstock, GA 30188-7141
Mailing address
1138 Ogilvie Dr NE
Atlanta, GA 30324-4723
Phone (803) 467-7207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Mercer University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4779 S Atlanta Rd SE
Suite 100
Atlanta, GA 30339-1565
Phone (404) 479-1739
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1225416100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1871268607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1138 OGILVIE DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303244723",
"telephone_number": "803-467-7207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12201 HIGHWAY 92 STE C",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301887141",
"telephone_number": "470-632-8335",
"fax_number": "470-632-8327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOFFORD",
"first_name": "ADRIA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-13",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.