Organization Active NPI

Reach Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Atlanta, GA
National Provider Identifier
1760138861
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REACH PHYSICAL THERAPY LLC
Practice address
280 Interstate North Cir SE Ste 105
Atlanta, GA 30339-2450
Phone
(678) 608-1700
Fax
(678) 608-1699
NPI assigned
Feb 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Dustin Lee, PT, DPTNPI 1528515111
Title
Organizer
Phone
(404) 493-3514

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

280 Interstate North Cir SE Ste 105
Atlanta, GA 30339-2450

Mailing address

280 Interstate North Cir SE Ste 105
Atlanta, GA 30339-2450
Phone (678) 608-1700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220412002190 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6608262001 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

3261 Roswell Rd NE
Atlanta, GA 30305
Phone (404) 618-2159

280 Interstate North Cir SE
Ste 105
Atlanta, GA 30339
Phone (678) 608-1700

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1760138861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 INTERSTATE NORTH CIR SE STE 105",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392450",
            "telephone_number": "678-608-1700",
            "fax_number": "678-608-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 INTERSTATE NORTH CIR SE STE 105",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392450",
            "telephone_number": "678-608-1700",
            "fax_number": "678-608-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "404-493-3514",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.