Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Abdourahman Jallow, DPT, PT

Individual provider Physical Therapist · NPI 1104649623

Abdourahman Jallow, DPT, PT is a Physical Therapist in Private Practice in Fayetteville, Georgia. Graduated from Emory University School of Medicine in 2024, 2 years ago. Practices with Georgia Luna Care Physical Therapy LLC, a 166-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

115 Sumner Rd
Fayetteville, GA 30214-4758
Phone: (706) 407-4446
Fax: (706) 845-9481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1867 Harvard Ave, Atlanta, GA 30337-3526 — (404) 835-4321

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 017466 (GA)

Record details

NPI number1104649623
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , PT
Sole proprietorNo
NPI enumeratedNovember 4, 2024
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025
Mailing address33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Georgia Luna Care Physical Therapy Llc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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