Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Antonio Va'Shawn Pruitt, PT, DPT, MPA

Individual provider Physical Therapist · NPI 1457583403

Dr. Antonio Va'Shawn Pruitt, PT, DPT, MPA is a Physical Therapist in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2009
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

700 Marietta St NW Ste B
Atlanta, GA 30318-5726
Phone: (678) 705-3091
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT011344 (GA)

Record details

NPI number1457583403
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , MPA
Sole proprietorYes
NPI enumeratedAugust 10, 2009
Last updated in NPPESMarch 22, 2018

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