Individual provider Active NPI

Fatima E Schneider, PT

  • Physical Therapist
  • Newnan, GA
National Provider Identifier
1972949360
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1755 Highway 34 E Ste 1300
Newnan, GA 30265-3186
Phone
(770) 254-7850
NPI assigned
May 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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 Primary

Addresses

Primary practice location

1755 Highway 34 E Ste 1300
Newnan, GA 30265-3186

Mailing address

114 Constitution Dr
Warner Robins, GA 31088-8001
Phone (478) 333-6363

Other identifiers 1

IdentifierTypeStateIssuer
PT010917OtherGALICENSE

Other names 1

  • Fatima Edemburgo Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140630001283 GA Practitioner - Physical Therapist in Private Practice 8325263635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Bone and Joint, LLCGroup PAC ID 0446291140, 49 clinicians

Practice addresses (Care Compare)

1755 Hwy 34 E
Suite 1300
Newnan, GA 30265-3186
Phone (770) 254-7850

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Bone & Joint, LLC CurrentSince Sep 14, 2020 Accepting new patients
Georgia Bone & Joint, LLC CurrentSince Sep 14, 2020 Accepting new patients
Empowerme Rehabilitation Georgia, LLC Physical Therapist CurrentSince Jan 27, 2023 Accepting new patients
Senseabilities, LLC Past Accepting new patients
Senseabilities, Inc. Past Accepting new patients

Locations

762 N Main St
Alpharetta, GA 30009
Phone (678) 268-6335

5610 Hampton Park Dr
Cumming, GA 30041
Phone (470) 866-5540

1755 Highway 34 E
Ste 1300
Newnan, GA 30265
Phone (770) 254-7850

1755 Highway 34 E
Ste 2200
Newnan, GA 30265
Phone (770) 502-2151

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1972949360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CONSTITUTION DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888001",
            "telephone_number": "478-333-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 HIGHWAY 34 E STE 1300",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302653186",
            "telephone_number": "770-254-7850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "FATIMA",
        "middle_name": "E",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT010917",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FATIMA",
            "last_name": "EDEMBURGO",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.