Organization Active NPI

TR Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Duluth, GA
National Provider Identifier
1215846803
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TR PHYSICAL THERAPY, LLC
Practice address
3305 Peachtree Industrial Blvd Ste 800
Duluth, GA 30096-2630
Phone
(352) 507-9362
NPI assigned
Sep 1, 2026
Last updated
Oct 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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

Authorized official

Name
Minsuk Song, PT, DPTNPI 1871073288
Title
Managing Member
Phone
(678) 216-7272

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 Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

3305 Peachtree Industrial Blvd Ste 800
Duluth, GA 30096-2630

Mailing address

205 Annahey Cir
Sugar Hill, GA 30518-1193
Phone (678) 216-7272

National Provider Directory

National Provider Directory

Locations

3305 Peachtree Industrial Blvd
Ste 800
Duluth, GA 30096

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790812800000",
    "number": "1215846803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ANNAHEY CIR",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305181193",
            "telephone_number": "678-216-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 PEACHTREE INDUSTRIAL BLVD STE 800",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300962630",
            "telephone_number": "352-507-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TR PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "MINSUK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "678-216-7272",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.