Unknown Individual – Physical Therapist, NPI 1710925615

Unknown Individual is a healthcare provider. based in Woodstock, Georgia. specializing in Physical Therapist. They hold a License No. 000076 (GA). The NPI Number for Unknown Individual is 1710925615

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710925615
Phone
(770) 842-0513
Address
3221 S CHEROKEE LN STE 1830
Deactivation Date
15 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • South Cherokee Lane, Woodstock, Cherokee County, Georgia, 30188, United States

    WOODSTOCK, GA 301884797

    Phone: (770) 842-0513

    Fax: (866) 401-0385

    Type: Location

  • 1675, Pilgrim Way, Pirkle Woods, Cumming, Forsyth County, Georgia, 30040, United States

    CUMMING, GA 300403517

    Phone: (770) 842-0513

    Fax: (866) 401-0385

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30188)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1710925615.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Woodstock?
Unknown Individual currently maps to Woodstock, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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