Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nsikak Alex Essienumoh, DPT

Individual provider Physical Therapist · NPI 1073832598

Dr. Nsikak Alex Essienumoh, DPT is a Physical Therapist in Private Practice in Ellenwood, Georgia. Qualified in 2008, 18 years ago. Practices with Entelechy Rehab, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
18
Licensed in
GA
In the registry since
2010
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3056 Anvil Block Rd Ste 118
Ellenwood, GA 30294
Phone: (404) 366-8100
Fax: (404) 366-8106
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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 PT9924 (GA)

Record details

NPI number1073832598
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 24, 2010
Last updated in NPPESMay 17, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Entelechy Rehab, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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