Organization Active NPI

Laenagee Health & Wellness

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1104669332
Registry record updated Jun 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LAENAGEE HEALTH & WELLNESS
Practice address
825 Beecher St SW Ste 119
Atlanta, GA 30310-2717
Phone
(404) 282-3961
NPI assigned
Jun 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2024

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

Authorized official

Name
Lynnette Booth, DPTNPI 1669639332
Title
Owner
Phone
(404) 282-3961

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

825 Beecher St SW Ste 119
Atlanta, GA 30310-2717

Mailing address

433 Highland Ave NE Apt 1211
Atlanta, GA 30312-5302

National Provider Directory

National Provider Directory

Locations

825 Beecher St SW
Ste 119
Atlanta, GA 30310
Phone (404) 282-3961

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718409600000",
    "number": "1104669332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 HIGHLAND AVE NE APT 1211",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303125302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 BEECHER ST SW STE 119",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303102717",
            "telephone_number": "404-282-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAENAGEE HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-15",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-15",
        "status": "A",
        "authorized_official_last_name": "BOOTH",
        "authorized_official_first_name": "LYNNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-282-3961",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2024; 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.