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

Shane Michael Anthony, PTA

Individual provider Physical Therapy Assistant · NPI 1144501305

Shane Michael Anthony, PTA is a Physical Therapy Assistant in Austell, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1025 E West Connector Ste 406
Austell, GA 30106-8513
Phone: (770) 384-1001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA000604 (GA)

Record details

NPI number1144501305
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 1, 2011
Last updated in NPPESSeptember 9, 2011
Mailing address8823 Production Ln, Ooltewah, TN 37363-6511

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