Individual provider Active NPI

Peter Huang, PT, DPT

  • Physical Therapist
  • Decatur, GA
National Provider Identifier
1023607504
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015094 Issued in GA
Practice address
1456 Church St
Decatur, GA 30030-1526
Phone
(404) 999-3710
Fax
(404) 999-3712
NPI assigned
Jan 11, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 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 PT015094 GA Primary

Addresses

Primary practice location

1456 Church St
Decatur, GA 30030-1526

Mailing address

33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210401000817 GA Practitioner - Physical Therapist in Private Practice 5991112310 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Westside Physical Therapy, LLCGroup PAC ID 6507185212, 7 clinicians

Practice addresses (Care Compare)

3280 Peachtree Rd NE
Atlanta, GA 30305-2430
Phone (404) 382-8702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT015094GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Jan 4, 2021 Accepting new patients
Westside Physical Therapy, LLC Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jan 4, 2021 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Jan 4, 2021 Accepting new patients
Team Rehabilitation Services, LLC Physical Therapist CurrentSince Oct 25, 2021 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Jan 4, 2021 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jan 4, 2021 Accepting new patients
Motion Stability, LLC Physical Therapist PastSince Feb 23, 2025 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

3280 Peachtree Rd NE
Ste 110B
Atlanta, GA 30305
Phone (404) 382-8702

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1820 Highway 20 SE
Ste 160
Conyers, GA 30013
Phone (770) 922-9222

1456 Church St
Decatur, GA 30030
Phone (404) 999-3710

2103 Pleasant Hill Rd
Duluth, GA 30096
Phone (470) 740-3900

2103 Pleasant Hill Rd
Ste B
Duluth, GA 30096
Phone (470) 740-3900

2838 E Atlanta Rd
Ste 2
Ellenwood, GA 30294
Phone (678) 782-3609

975 Dawsonville Hwy
Ste 6
Gainesville, GA 30501
Phone (470) 768-8100

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

5510 Spalding Dr
Ste B
Peachtree Corners, GA 30092
Phone (404) 382-8702

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 8

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": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1023607504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 CHURCH ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301526",
            "telephone_number": "404-999-3710",
            "fax_number": "404-999-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "PETER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.