Individual provider Active NPI

Elliot Ming-Yi Teh, PT, DPT

  • Physical Therapist
  • Lawrenceville, GA
National Provider Identifier
1780100743
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT013015 Issued in GA
Practice address
860 Duluth Hwy Ste 140
Lawrenceville, GA 30043-5336
Phone
(470) 410-1444
Fax
(470) 427-0125
NPI assigned
Aug 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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 PT013015 GA Primary

Addresses

Primary practice location

860 Duluth Hwy Ste 140
Lawrenceville, GA 30043-5336

Mailing address

PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171101001153 GA Practitioner - Physical Therapist in Private Practice 3173899432 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians
Fixtpt Lawrenceville LLCGroup PAC ID 8729422647, 3 clinicians

Practice addresses (Care Compare)

123 Battlefield Crossing CT
Ringgold, GA 30736-5176
Phone (706) 861-8775

455 Philip Blvd
Suite 135
Lawrenceville, GA 30046-8767
Phone (770) 842-4411

860 Duluth Hwy
Suite 140
Lawrenceville, GA 30043-5336
Phone (470) 410-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT013015GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Aug 21, 2017 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Aug 21, 2017 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Apr 12, 2021 Accepting new patients
Fixtpt Lawrenceville LLC Physical Therapist CurrentSince Oct 1, 2025 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Aug 21, 2017 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Aug 21, 2017 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Apr 12, 2021 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

12850 Highway 9 N
Ste 1050
Alpharetta, GA 30004
Phone (678) 332-5800

2900 Peachtree Rd NW
Ste 208
Atlanta, GA 30305
Phone (678) 365-3588

1375 Peachtree St NE
Ste A12
Atlanta, GA 30309
Phone (470) 875-6677

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1441 Dresden Dr NE
Ste 290
Brookhaven, GA 30319
Phone (470) 575-4333

11720 Medlock Bridge Rd
Ste 550
Johns Creek, GA 30097
Phone (678) 364-7195

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

455 Philip Blvd
Ste 135
Lawrenceville, GA 30046
Phone (404) 799-7050

860 Duluth Hwy
Ste 140
Lawrenceville, GA 30043
Phone (470) 410-1444

3460 Sandy Plains Rd
Unit 610
Marietta, GA 30066
Phone (678) 631-5878

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

10800 Alpharetta Hwy
Ste 176
Roswell, GA 30076
Phone (678) 364-7195

6635 Roswell Rd
Sandy Springs, GA 30328
Phone (678) 332-2030

860 Johnson Fy Rd NE
Ste 100
Sandy Springs, GA 30342
Phone (404) 252-5545

1155 Concord Rd SE
Ste 210
Smyrna, GA 30080
Phone (678) 293-0250

2059 Scenic Hwy N
Ste C
Snellville, GA 30078
Phone (470) 568-2818

4135 Lavista Rd
Ste 110
Tucker, GA 30084
Phone (470) 568-2622

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1780100743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 DULUTH HWY STE 140",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435336",
            "telephone_number": "470-410-1444",
            "fax_number": "470-427-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEH",
        "first_name": "ELLIOT",
        "middle_name": "MING-YI",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-21",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.