Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ashton Gregory Fannin, PT, DPT

Individual provider Physical Therapist · NPI 1023539079

Ashton Gregory Fannin, PT, DPT is a Physical Therapist in Private Practice in Roswell, Georgia. Qualified in 2017, 9 years ago. Practices with Laboratory Fitness LLC, a 44-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

11490 Alpharetta Hwy Ste 200
Roswell, GA 30076-3866
Phone: (770) 740-8592
Fax: (770) 740-9478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (GA)

Record details

NPI number1023539079
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 29, 2017
Last updated in NPPESJune 29, 2017

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Laboratory Fitness Llc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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