Individual provider Active NPI

Anna O Stromquist, PT, DPT

  • Physical Therapist
  • Johns Creek, GA
National Provider Identifier
1922306745
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009742 Issued in GA
Practice address
10700 Medlock Bridge Rd
Suite 105
Johns Creek, GA 30097-0000
Phone
(770) 623-0105
NPI assigned
Mar 2, 2011
Last updated
Apr 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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 PT009742 GA Primary

Addresses

Primary practice location

10700 Medlock Bridge Rd
Suite 105
Johns Creek, GA 30097-0000

Mailing address

420 Elden Dr
Atlanta, GA 30342-2034
Phone (575) 993-8428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181016001734 GA Practitioner - Physical Therapist in Private Practice 6305196544 Reassigns benefits to 1 organization
Practice locations: Atlanta, GA

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Emory University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magnolia Physical Therapy and WellnessGroup PAC ID 5496005639, 2 clinicians

Practice addresses (Care Compare)

420 Elden Dr
Atlanta, GA 30342-2034
Phone (678) 343-6660

460 Elden Dr
Atlanta, GA 30342-2034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT009742GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Physical Therapy and Wellness Physical Therapist CurrentSince Oct 24, 2017 Accepting new patients
Meadows Hand and Physical Therapy Clinic Physical Therapist PastSince Apr 1, 2013 Accepting new patients
Activcore Health Network LLC Physical Therapist PastSince Apr 1, 2022 Accepting new patients

Organizations & group practices 3

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": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1922306745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 ELDEN DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422034",
            "telephone_number": "575-993-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 MEDLOCK BRIDGE RD",
            "address_2": "SUITE 105",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300970000",
            "telephone_number": "770-623-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROMQUIST",
        "first_name": "ANNA",
        "middle_name": "O",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.