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

Rudo Alice Takawira, PT

Individual provider Geriatric Physical Therapist · NPI 1104331206

Rudo Alice Takawira, PT is a Physical Therapist in Private Practice in Flowery Branch, Georgia. Qualified in 2002, 24 years ago. Practices with Fox Rehabilitation Ga, LLC, a 107-clinician group. Licensed in Georgia.

Years since qualifying
24
Licensed in
GA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

4595 Cantrell Rd
Flowery Branch, GA 30542-3304
Phone: (770) 967-2070
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT012671 (GA)
Geriatric Physical Therapist Taxonomy 2251G0304X · Licence PT012671 (GA)

Record details

NPI number1104331206
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 11, 2017
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Fox Rehabilitation Ga, Llc — 107 clinicians
Accepts Medicare assignment Not indicated