Peggy Teague

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT005740 Issued in GA

Practice address

1509 Atkinson Rd
Suite 1100
Lawrenceville, GA 30043-7986

Phone

(770) 995-2379

Fax

(770) 995-2385

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Milestone Pediatric Therapy Services, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Jefferson, GA
  • NPI 1679915284
  NPD (past)
• Physical Therapy Plus, Inc

  • Physical Therapy Assistant
  • St Simons Island, GA
  • NPI 1912073057
  NPD (past)
• Therapy Works,P.C.

  • Multi-Specialty Clinic/Center
  • Lawrenceville, GA
  • NPI 1801959838
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1043371974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 LAWRENCEVILLE HWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444608",
            "telephone_number": "770-995-2379",
            "fax_number": "770-995-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 ATKINSON RD",
            "address_2": "SUITE 1100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437986",
            "telephone_number": "770-995-2379",
            "fax_number": "770-995-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE",
        "first_name": "PEGGY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "PT005740",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT005740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306072",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10037766",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000765817A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regina Taylor
• Teyana Taylor
• TC Time One LLC
• Guergana Tchipilska-Nikolova
• TCWC Lawrenceville LLC
• Tiana Teague, LMFT
• Linda Tebekaemi, RN
• Technical Products Inc
• Elliot Ming-Yi Teh, PT, DPT
• Tizta Teka, MD

• Pediatric Physical Therapist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Pediatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.