Active NPI
Laura P Guigou, DPT
- Physical Therapist
- Snellville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010661
- Practice address
- 2400 Wisteria Dr
Suite a
Snellville, GA 30078-2689 - Phone
- (770) 982-0102
- Fax
- (770) 982-0130
- NPI assigned
- Jul 13, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT010661 | GA | Primary |
Addresses
Primary practice location
2400 Wisteria Dr
Suite a
Snellville, GA 30078-2689
Mailing address
2400 Wisteria Dr
Suite a
Snellville, GA 30078-2689
Phone (770) 982-0102
Other names 1
- Laura P Beauchamp
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
528 Valley Hill Rd SW
Riverdale, GA 30274-2441
Phone (678) 712-3072
5553 Peachtree Rd
Suite 105
Chamblee, GA 30341-2309
Phone (770) 687-2160
5671 Peachtree Dunwoody Rd
Suite 900
Atlanta, GA 30342-5022
5671 Peachtree Dunwoody Rd NE
Suite 900 950
Atlanta, GA 30342-5022
Phone (404) 847-9999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT010661 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resurgens, LLC | Current | Accepting new patients | |
| Atlanta Rehabilitation and Performance Center | Current | Accepting new patients | |
| Atlanta Rehabilitation and Performance Center | Current | Accepting new patients | |
| Resurgens, LLC | Current | Accepting new patients |
Locations
3155 North Point Pkwy
Ste D100
Alpharetta, GA 30005
Phone (770) 475-7272
5553 Peachtree Rd
Ste 105
Chamblee, GA 30341
Phone (770) 687-2160
335 Roselane St NW
Ste 201
Marietta, GA 30060
Phone (470) 259-5226
4220 Mundy Mill Pl
Ste 2B
Oakwood, GA 30566
Phone (678) 450-9933
528 Valley Hill Rd SW
Riverdale, GA 30274
Phone (678) 712-3072
5671 Ptree Dunwoody Rd NE
Ste 700
Sandy Springs, GA 30342
Phone (404) 459-3732
5671 Ptree Dunwoody Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 531-8590
2400 Wisteria Dr
Ste A
Snellville, GA 30078
Phone (770) 982-0102
295 Molly Ln
Ste 140
Woodstock, GA 30189
Phone (770) 517-2288
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Cleveland, GA
- NPI 1982797494
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1386697928
-
- Physical Therapy Clinic/Center
- Lawrenceville, GA
- NPI 1013789205
-
- Orthopaedic Surgery Physician
- Braselton, GA
- NPI 1033919790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398384000000",
"number": "1609131820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 WISTERIA DR",
"address_2": "SUITE A",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782689",
"telephone_number": "770-982-0102",
"fax_number": "770-982-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 WISTERIA DR",
"address_2": "SUITE A",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782689",
"telephone_number": "770-982-0102",
"fax_number": "770-982-0130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIGOU",
"first_name": "LAURA",
"middle_name": "P",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-13",
"last_updated": "2014-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT010661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "BEAUCHAMP",
"middle_name": "P",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.