Active NPI
Shayna B Gross, PT
- Physical Therapist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007390
- Practice address
- 1189 Euclid Ave NE
Atlanta, GA 30307-1509 - Phone
- (609) 350-3864
- NPI assigned
- Mar 11, 2009
- Last updated
- Aug 11, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA01306200 | NJ | |
| Physical Therapist | 225100000X | PT025756 | PA | |
| Physical Therapist | 225100000X | PT007390 | GA | Primary |
Addresses
Primary practice location
1189 Euclid Ave NE
Atlanta, GA 30307-1509
Mailing address
360 Sinclair Ave NE
Atlanta, GA 30307-1929
Phone (609) 350-3864
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
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11242 Cumming Hwy
Suite 105
Canton, GA 30115-8155
Phone (770) 720-7156
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 85.59
- Improvement activities
- 40
- Cost
- 69.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT007390 | GA | MD | Physical Therapist |
| 40QA01306200 | NJ | MD | Physical Therapist |
| PT025756 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esop Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
| Esop Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Esop Rehabilitation, LLC | Physical Therapist | Current | Accepting new patients |
Locations
11242 Cumming Hwy
Ste 105
Canton, GA 30115
Phone (770) 720-7156
875 Flat Shoals Rd SE
Ste 150
Conyers, GA 30094
Phone (770) 785-7669
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.
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1164182333
Physical Therapist
-
dba Emory & Select Physical Therapy
- Physical Therapy Clinic/Center
- Conyers, GA
- NPI 1811319023
Physical Therapist
-
dba Emory & Select Physical Therapy
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1962824003
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1952542573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 SINCLAIR AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303071929",
"telephone_number": "609-350-3864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1189 EUCLID AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303071509",
"telephone_number": "609-350-3864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSS",
"first_name": "SHAYNA",
"middle_name": "B",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-11",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01306200",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT025756",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT007390",
"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 Aug 11, 2025; 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.