Individual provider Active NPI

Lynne Somerville Repasky, PT

  • Physical Therapist
  • Tucker, GA
National Provider Identifier
1003936980
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT002211 Issued in GA
Practice address
2060 E. Exchange PL
Suite 100
Tucker, GA 30084-4126
Phone
(770) 493-6360
Fax
(770) 493-6350
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT002211 GA Primary

Addresses

Primary practice location

2060 E. Exchange PL
Suite 100
Tucker, GA 30084-4126

Mailing address

2060 E Exchange PL
Suite 100
Tucker, GA 30084-5337
Phone (770) 493-6360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
All Health Physical Therapy Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1003936980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 E EXCHANGE PL",
            "address_2": "SUITE 100",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845337",
            "telephone_number": "770-493-6360",
            "fax_number": "770-493-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 E. EXCHANGE PL",
            "address_2": "SUITE 100",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844126",
            "telephone_number": "770-493-6360",
            "fax_number": "770-493-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPASKY",
        "first_name": "LYNNE",
        "middle_name": "SOMERVILLE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT002211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.