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NPI 1194545053ActiveOrganization· Physical Therapist· Carrollton, GA

Physical Therapist in Carrollton, Georgia, registered in NPPES in October 2024. The authorized official on file is Sarah Altstadt, Provider Enrollment Specialist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.

Overview

NPI1194545053
StatusActive
Entity typeOrganization
NPI issuedOct 15, 2024
Last updated in NPPESAug 14, 2026
Certified by providerAug 14, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (GA)

Medicare sources and data years

Other physical therapists in Carrollton

All 41 physical therapists in Carrollton · All physical therapists in Georgia