Peach Rehab and Wellness Studio

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PEACH REHAB AND WELLNESS STUDIO

Doing business as

Peach Rehab and Wellness

Practice address

774 Forrest St NW
Atlanta, GA 30318-7618

Phone

(404) 369-0368

NPI assigned

Nov 1, 2021

Last updated

Nov 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Danielle Baker, DPT

Title

Partner

Phone

(786) 514-6306

Specialties & licenses 1

Addresses

Other names 1

• Peach Rehab and Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jenna Hearn

  • Physical Therapist
  • Dunwoody, GA
  • NPI 1841537016
  NPD (past)

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1639834088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 FORREST ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303187618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 FORREST ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303187618",
            "telephone_number": "404-369-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACH REHAB AND WELLNESS STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "786-514-6306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peach Rehab and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Peach South Transit LLC
• Peach State Imaging, P.a.
• Peach State Learning Solutions Inc (Destinations Career Academy of Georgia)
• Peach State Medical Practice, PC (Kindbody of GA Medical Practice, PC)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.