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

Sidney Otiwu, PT, DPT

Individual provider Physical Therapist · NPI 1003651282

Sidney Otiwu, PT, DPT is a Physical Therapist in Private Practice in Lawrenceville, Georgia. Qualified in 2024, 2 years ago. Practices with Atlanta Rehabilitation and Performance Center, a 96-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024
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

575 Professional Dr Ste 370
Lawrenceville, GA 30046-3334
Phone: (678) 205-5420
Fax: (678) 205-5462
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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 PT017162 (GA)

Record details

NPI number1003651282
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 28, 2024
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Atlanta Rehabilitation And Performance Center — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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