Individual provider Active NPI

Brian Alexander Langevin, PT, DPT, CERT. DN

  • Physical Therapist
  • Dacula, GA
National Provider Identifier
1558130278
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2463 Hamilton Mill Pkwy Ste 250
Dacula, GA 30019-4647
Phone
(770) 932-9521
NPI assigned
Dec 21, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P22822 NC
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2463 Hamilton Mill Pkwy Ste 250
Dacula, GA 30019-4647

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (866) 518-0283

Other practice location 1

1000 Peachtree Industrial Blvd Ste 5
Suwanee, GA 30024-1977
Phone (678) 482-9695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240227001739 GA Practitioner - Physical Therapist in Private Practice 0547605883 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Physical Therapy, LLCGroup PAC ID 1153382676, 96 clinicians
Georgia Luna Care Physical Therapy LLCGroup PAC ID 4082027727, 167 clinicians

Practice addresses (Care Compare)

21 Ortho LN
Atlanta, GA 30329-2315
Phone (404) 778-3350

260 Peachtree St NW
Suite 2200
Atlanta, GA 30303-1292
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P22822NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
Georgia Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jul 3, 2024 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Jan 8, 2024 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Jul 22, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Jan 8, 2024 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Jul 22, 2024 Accepting new patients
Emory Physical Therapy, LLC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1820 Highway 20 SE
Ste 160
Conyers, GA 30013
Phone (770) 922-9222

7201 Turner Lake Rd NW
Ste 13
Covington, GA 30014
Phone (470) 444-1609

2463 Hamilton Mill Pkwy
Ste 250
Dacula, GA 30019
Phone (770) 365-7876

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

1000 Peachtree Industrial Blvd
Ste 5
Suwanee, GA 30024
Phone (678) 482-9695

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1558130278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "866-518-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2463 HAMILTON MILL PKWY STE 250",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194647",
            "telephone_number": "770-932-9521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Peachtree Industrial Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300241977",
            "country_code": "US",
            "telephone_number": "678-482-9695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGEVIN",
        "first_name": "BRIAN",
        "middle_name": "ALEXANDER",
        "credential": "PT, DPT, CERT. DN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-21",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22822",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.