Michelle Marie Alvarez, DPT
Individual provider Active NPI Physical Therapist · Braselton, GA
NPI 1992285886 · NPPES record last updated Aug 29, 2018
Key facts
- NPI
- 1992285886
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT013566 (GA)
- Practice address
- 1241 Friendship Rd Ste 120
Braselton, GA 30517 - Phone
- (706) 993-2272
- Fax
- (706) 842-6752
- NPI assigned
- Aug 20, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT013566 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgialina Physical Therapy Associates LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT013566 | GA | Yes |
Addresses
Primary practice location
1241 Friendship Rd Ste 120
Braselton, GA 30517
Mailing address
PO Box 5545
Augusta, GA 30916-5545
Phone (706) 993-2272
Other practice location 1
2803 Wrightsboro Rd Ste 50
Augusta, GA 30909-3917
Phone (706) 993-2272
Other practice location 2
2556 Tobacco Rd Ste C
Hephzibah, GA 30815-9016
Phone (706) 993-2272
Other practice location 3
1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 993-2272
Other practice location 4
3206 Peach Orchard Rd
Augusta, GA 30906-3540
Phone (706) 993-2272
Other practice location 5
205 Addison Sq Ste 2
Evans, GA 30809-5527
Phone (706) 993-2272
Other practice location 6
2498 Washington Rd Ste A
Thomson, GA 30824-6600
Phone (706) 993-2272
Other practice location 7
500 Furys Ferry Rd Ste 101
Martinez, GA 30907-7901
Phone (706) 993-2272
Other practice location 8
4039 Gateway Blvd Ste 102
Grovetown, GA 30813-3195
Phone (706) 993-2272
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT013566 | Other | GA | GA LICENSE NUMBER |
Other providers in Braselton, GA
- Bibi Aklima Ali
- Nechol Leigh Allen
- Alliance Prosthetics and Orthotics
- Makisha Nicole Pinney Allick
- Abigail Marion Alvarez
- Anderson Physical Therapy Associates, Inc.
- Angela S Anderson
- Anointed Hands Medical Service
- Cynthia Ijeoma Anunobi
- Haritha Arikatla
All providers in Braselton, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.