Active NPI
Reach Physical Therapy LLC
- Physical Therapy Clinic/Center
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dustin Lee, PT, DPT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopedic Physical Therapist
- Atlanta, GA
- NPI 1528515111
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.