Meadows Clinic at Lawrenceville LLC

Primary specialty

Hand Physical TherapistTaxonomy code 2251H1200X

License

PT004486 Issued in GA

Legal business name

MEADOWS CLINIC AT LAWRENCEVILLE LLC

Practice address

1430 Five Forks Trickum Rd
Ste 210
Lawrenceville, GA 30044-8183

Phone

(678) 377-1738

Fax

(678) 377-1737

NPI assigned

May 24, 2007

Organization subpart

Yes

Parent organization

MEADOWS HAND AND PHYSICAL THERAPY LLCAs reported in NPPES

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

Authorized official

Name

Manisha Kapasi, PT, PHD, CHT

Title

President

Phone

(770) 623-0105

Specialties & licenses 3

Addresses

Other names 1

• Meadows Physical Therapy & Hand Clinic Doing business as

Part of

Meadows Hand and Physical Therapy Clinic

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leah Ann Sturtevant, P.T.

  • Physical Therapist
  • Ooltewah, TN
  • NPI 1740303908
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1629289715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 FIVE FORKS TRICKUM RD",
            "address_2": "STE 210",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300448183",
            "telephone_number": "678-377-1738",
            "fax_number": "378-377-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 FIVE FORKS TRICKUM RD",
            "address_2": "STE 210",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300448183",
            "telephone_number": "678-377-1738",
            "fax_number": "678-377-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWS CLINIC AT LAWRENCEVILLE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEADOWS HAND AND PHYSICAL THERAPY LLC",
        "enumeration_date": "2007-05-24",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "KAPASI",
        "authorized_official_first_name": "MANISHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-623-0105",
        "authorized_official_credential": "PT, PHD, CHT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT004486",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT005934",
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Hand",
            "state": "GA",
            "license": "PT004486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meadows Physical Therapy & Hand Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Troy McQueen, LPC
• Likyah McSwain
• Krista Fay McWhorter
• Amy Braun McWilliams, LCSW
• Karen C Mead, RPH
• Breashia Debra Meadows
• Janelle Denise Meadows
• Med Courier LLC
• Med IV Healthcare
• Med Supplies Express Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.