Active NPI
Cristian Constantin
- Physical Therapy Assistant
- Atlanta, GA
National Provider Identifier
1881938165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA002180
- Practice address
- 1833 Clifton Rd NE
Atlanta, GA 30329-4021 - Phone
- (404) 728-6500
- NPI assigned
- Nov 26, 2012
- Last updated
- Nov 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | PTA002180 | GA | Primary |
Addresses
Primary practice location
1833 Clifton Rd NE
Atlanta, GA 30329-4021
Mailing address
4333 Dunwoody Park
Apt 1113
Dunwoody, GA 30338-5795
Phone (678) 343-5028
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA002180 | GA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353888000000",
"number": "1881938165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4333 DUNWOODY PARK",
"address_2": "APT 1113",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303385795",
"telephone_number": "678-343-5028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1833 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303294021",
"telephone_number": "404-728-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONSTANTIN",
"first_name": "CRISTIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-26",
"last_updated": "2012-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA002180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Conscious Living Therapy Services LLC (Conscious Living Therapy Services)
- Emmanuela C Conseillant, NP-BC
- Consist Health Care Inc
- Elizabeth Consky, DDS
- Consolidated Critical Care, Inc. (Home Medical)
- Elizabeth Gray Constantine, SLP
- Courtney Constantino, PT, DPT
- Dominique L Conteh
- Contemporary Healing Spaces, Inc
- Continuity of Care Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.