Healthcare Provider Details

I. General information

NPI: 1497670970
Provider Name (Legal Business Name): SIERRA HORTON RODRIGUEZ PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6955 MCGINNIS FERRY RD STE 111
JOHNS CREEK GA
30097-3521
US

IV. Provider business mailing address

2950 RICHMOND ROW DR UNIT 1320
SUWANEE GA
30024-7817
US

V. Phone/Fax

Practice location:
  • Phone: 770-573-1972
  • Fax:
Mailing address:
  • Phone: 770-597-3101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT018521
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: