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Deactivated NPI 1770243065 Deactivated / Inactive NPI Male Practitioner

Marty Allen Mittleman , PTA

Physical Therapy Assistant • Pooler, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Marty Mittleman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 28, 2021
NPI Deactivation Date March 27, 2025
Total Practice Duration ~4 Years of Practice (2021 – 2025)

Professional Overview & Biography Verified Profile Summary

Marty Mittleman, PTA was a registered Physical Therapy Assistant practicing in Pooler, GA. Throughout an active medical career spanning 4 years, Marty Mittleman provided care at the practice location at 1223 ADDISON PL until profile deactivation on 2025-03-27.

Practice Location & Contact Primary Location

Practice Address

1223 Addison Pl

Pooler, GA 313229469

Telephone 9123127865

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapy Assistant in Pooler, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Pooler, GA (1146 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physical Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 225200000X

State License GA PTA004348

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 27, 2025

Record deactivated on March 27, 2025

NPI Profile Active December 28, 2021

NPI status registered as active in NPPES database

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Updated Practice Location December 28, 2021

Registered at 1223 ADDISON PL, POOLER, GA 313229469 (Tel: 9123127865)

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Updated Business Mailing Address December 28, 2021

Registered at 1223 ADDISON PL, POOLER, GA 313229469 (Tel: 9123127865)

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Provider Name / Credentials Updated December 28, 2021

Recorded as MARTY MITTLEMAN, PTA

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2021

Physical Therapy Assistant (License #PTA004348 in GA)

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Initial NPI Registration & Enumeration December 28, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770243065
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2021
Last Update: December 28, 2021
Deactivation Date: March 27, 2025

Mailing Address

1223 Addison Pl

Pooler, GA 313229469

Phone: 9123127865

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.