Active NPI
Connie Cheung, DPT, MPH, RD/LD
- Physical Therapist
- Roswell, GA
National Provider Identifier
1811944317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT007815
- Practice address
- 1775 Riverside Rd
Roswell, GA 30076-3314 - Phone
- (678) 557-0600
- NPI assigned
- May 28, 2006
- Last updated
- Dec 10, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD002682 | GA | |
| Physical Therapist | 225100000X | PT007815 | GA | Primary |
Addresses
Primary practice location
1775 Riverside Rd
Roswell, GA 30076-3314
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202G708167 | Other | GA | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD002682 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Activcore Health Network LLC | Physical Therapist | Past | Accepting new patients |
| Meadows Hand and Physical Therapy Clinic | Physical Therapist | Past | Accepting new patients |
| Saerom Physical Therapy | Dietitian, Registered | Past | 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.
-
dba Meadows Physical Therapy and Hand Clinic
- Hand Physical Therapist
- Johns Creek, GA
- NPI 1063620037
-
dba Alkaline Wellness Center
- Registered Dietitian
- Johns Creek, GA
- NPI 1194190686
Dietitian, Registered
-
dba Activcore
- Physical Therapy Clinic/Center
- Princeton, NJ
- NPI 1659784767
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1811944317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206",
"fax_number": "517-435-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 RIVERSIDE RD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300763314",
"telephone_number": "678-557-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEUNG",
"first_name": "CONNIE",
"credential": "DPT, MPH, RD/LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-28",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD002682",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT007815",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "202G708167",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.