Physio Electrodiagnostics LLC

Primary specialty

Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X

Legal business name

PHYSIO ELECTRODIAGNOSTICS LLC

Practice address

3159 Woodward Down TRL
Buford, GA 30519-5023

Phone

(470) 505-3243

NPI assigned

Sep 7, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Junghwan Bang, DPT

Title

Owner

Phone

(470) 505-3243

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1174432884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 WOODWARD DOWN TRL",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305195023",
            "telephone_number": "470-505-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3159 WOODWARD DOWN TRL",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305195023",
            "telephone_number": "470-505-3243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10710 Medlock Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300971827",
            "country_code": "US",
            "telephone_number": "470-505-3243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSIO ELECTRODIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A",
        "authorized_official_last_name": "BANG",
        "authorized_official_first_name": "JUNGHWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-505-3243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Buford, GA
• Providers in Buford, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.