Individual provider Active NPI

Lyssa Barochin, DPT

  • Physical Therapist
  • Suwanee, GA
National Provider Identifier
1710638564
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38070 Issued in FL
Practice address
4025 Johns Creek Pkwy Ste 100
Suwanee, GA 30024-5683
Phone
(404) 847-9999
NPI assigned
Jan 13, 2022
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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 PT38070 FL Primary

Addresses

Primary practice location

4025 Johns Creek Pkwy Ste 100
Suwanee, GA 30024-5683

Mailing address

3199 Foxcroft Rd Apt 104
Miramar, FL 33025-4171
Phone (678) 683-4466

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260504006174 GA Practitioner - Physical Therapist in Private Practice 7416425947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3833 Oak Ridge Dr
Buford, GA 30519-4824

PO Box
Suite 290609
Nashville, TN 37229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT38070FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics Pta, Inc. PastSince Jan 21, 2022 Accepting new patients
Rehabclinics SPT Inc Physical Therapist PastSince Jan 21, 2022 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1710638564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3199 FOXCROFT RD APT 104",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330254171",
            "telephone_number": "678-683-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 JOHNS CREEK PKWY STE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245683",
            "telephone_number": "404-847-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAROCHIN",
        "first_name": "LYSSA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.