RUDO ALICE TAKAWIRA PT
NPI 1104331206
Physical Therapist in Flowery Branch, GA

Active since December 11, 2017
4595 CANTRELL RD, FLOWERY BRANCH, GA 30542(770) 967-2070 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 29, 2021, Dec 11, 2017 (2 updates tracked since 2017).

About Rudo Alice Takawira Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUDO ALICE TAKAWIRA PT (NPI 1104331206) is an individual physical therapist in Flowery Branch, Georgia, licensed in Georgia (PT012671) and active in the NPI registry since December 2017. She is a graduate of Other (2002).

NPPES Registry Identity

NPI1104331206
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameRUDO ALICE TAKAWIRACredential: PT
Location Address4595 CANTRELL RDFlowery Branch, GA 30542-3304
Mailing Address2376 Bransley PlDuluth, GA 30097-4336 · (214) 952-4605
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateDecember 11, 2017
Last NPPES UpdateMarch 29, 20212 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
✔ NPI 1104331206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in GA · PT012671
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedPhysical Therapist · GeriatricsTaxonomy 2251G0304X · License PT012671 (GA)
4595 CANTRELL RD, Flowery Branch, GA 30542

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rudo Alice Takawira Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173922556
PECOS Enrollment IDI20210604002796

Medicare Billing Reassignments

2

Medicare enrollment records show Rudo Takawira reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
1260 HIGHTOWER TRL
Atlanta, GA 30350
  • Reassigned Medicare billing, Georgia enrollment
  • 220 clinicians in this Medicare group
Physical Therapist
260 PEACHTREE ST NW STE 2200
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 323 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4595 CANTRELL RD
FLOWERY BRANCH, GA 30542
Optometrist
4595 CANTRELL RD
FLOWERY BRANCH, GA 30542
Skilled Nursing Facility
4595 CANTRELL RD
FLOWERY BRANCH, GA 30542
Skilled Nursing Facility
4595 CANTRELL RD
FLOWERY BRANCH, GA 30542
Skilled Nursing Facility
4595 CANTRELL RD
FLOWERY BRANCH, GA 30542

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rudo Takawira's NPI number?

The NPI number for Rudo Takawira is 1104331206. It was assigned to this individual provider in the NPPES registry on December 11, 2017.

Where is Rudo Takawira located?

Rudo Takawira practices at 4595 Cantrell Rd, Flowery Branch, GA 30542. The listed phone number is (770) 967-2070.

What is Rudo Takawira's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Rudo Takawira enrolled in Medicare?

Yes. Rudo Takawira is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rudo Takawira's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rudo Takawira reassigns Medicare benefits to 2 organizations: Fox Rehabilitation Ga, LLC (Atlanta, GA) and Georgia Luna Care Physical Therapy LLC (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rudo Takawira's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rudo Takawira was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.