Individual provider Active NPI

Laura P Guigou, DPT

  • Physical Therapist
  • Snellville, GA
National Provider Identifier
1609131820
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010661 Issued in GA
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

Updated by the provider on Apr 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120917000771 GA Practitioner - Physical Therapist in Private Practice 5991953994 Reassigns benefits to 2 organizations

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
Resurgens, LLCGroup PAC ID 1153224142, 184 clinicians

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

LicenseStateTypeSpecialty
PT010661GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Resurgens, LLC CurrentSince Sep 1, 2025 Accepting new patients
Atlanta Rehabilitation and Performance Center CurrentSince Jul 16, 2012 Accepting new patients
Atlanta Rehabilitation and Performance Center CurrentSince Jul 16, 2012 Accepting new patients
Resurgens, LLC CurrentSince Sep 1, 2025 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.

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.

Verify at the official NPI Registry.