Tony Chung, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012882 Issued in GA

Practice address

1300 Peachtree Industrial Blvd Ste 4108
Suwanee, GA 30024-4541

Phone

(470) 238-3683

Fax

(470) 238-3816

NPI assigned

Jun 22, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TC Time, LLCGroup PAC ID 2567875727, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• TC Time, LLC

  • Physical Therapy Clinic/Center
  • Suwanee, GA
  • NPI 1356953590

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Peachtree Wellness Group LLC

  • Chiropractor
  • Suwanee, GA
  • NPI 1982486122
  NPD Authorized official
• TC Time One LLC

  • Rehabilitation Practitioner
  • Lawrenceville, GA
  • NPI 1346178035
  NPD Authorized official
• Orthoatlanta, LLC

  • Orthopaedic Surgery Physician
  • Aiken, SC
  • NPI 1427887157
  NPD (past)

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1306366265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 PEACHTREE INDUSTRIAL BLVD STE 4108",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244541",
            "telephone_number": "470-238-3683",
            "fax_number": "470-238-3816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PEACHTREE INDUSTRIAL BLVD STE 4108",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244541",
            "telephone_number": "470-238-3683",
            "fax_number": "470-238-3816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2785 Highway 54",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302691063",
            "country_code": "US",
            "telephone_number": "770-460-0094",
            "fax_number": "678-216-0380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6300 Hospital Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300971983",
            "country_code": "US",
            "telephone_number": "678-205-4298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "TONY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Wei LLC
• Amanda Gail Chung, MS, CCC-SLP
• Emily Chung, FNP-C
• Hyunjae Chung, DPT
• Richard Young Shin Chung, O.M.D
• Circle of Love , Inc
• Frank Clayton, DDS
• Robert Douglas Clayton, M.D.
• Ronald Mark Clayton, M.S., L.P.C.
• Melissa Clements

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.