Advanta Medical & Physical Therapy
Clinic/Center, Physical Therapy in Marietta, GA. Organization (NPI-2).
Details
- NPI
- 1689701153
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanta Medical & Physical Therapy
- Organization subpart
- No
- Enumeration date
- Feb 28, 2007
- Last updated
- Sep 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 080602262 | NE | Yes |
| 111NR0400X | Chiropractor, Rehabilitation | CHIR004850 | GA |
Practice location
1720 Powers Ferry Rd SeSte 100
Marietta, GA 30067-5450
Phone 770-955-2225 · Fax 770-953-6658
Mailing address
1480 Terrell Mill Rd SeSte F Box 884
Marietta, GA 30067-6050
Phone 770-955-2225 · Fax 770-953-6658
Authorized official
Richard P Schuyler
President
7709552225
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 35 Physical Therapy Clinic/Center providers in Marietta · All 9,180 providers in Marietta
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