Brandon Duong, DPT
Individual provider Active NPI Physical Therapist · Newnan, GA
NPI 1841966900 · NPPES record last updated Jan 29, 2025
Key facts
- NPI
- 1841966900
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT015503 (GA)
- Practice address
- 90 Glenda Trce Ste C
Newnan, GA 30265-3868 - Phone
- (470) 683-4640
- Fax
- (470) 683-4639
- NPI assigned
- Aug 19, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Team Rehabilitation Services LLC
Practice addresses (Care Compare)
90 Glenda Trce
Suite C
Newnan, GA 30265-3868
Phone (470) 683-4640
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.73 of 100
- Quality
- 87.86
- Improvement activities
- 40
- Cost
- 61.36
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210927000987 | GA | Practitioner - Physical Therapist in Private Practice | 3971900457 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Rehabilitation Services, LLC | Physical Therapist | Current |
Accepting new patients |
| Team Rehabilitation Services, LLC | Physical Therapist | Past |
Accepting new patients |
Locations
975 Dawsonville Hwy
Ste 6
Gainesville, GA 30501
Phone (470) 768-8100
90 Glenda Trce
Ste C
Newnan, GA 30265
Phone (470) 683-4640
1060 Eagles Landing Pkwy
Ste 130
Stockbridge, GA 30281
Phone (470) 369-5770
33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT015503 | GA | Yes |
Addresses
Primary practice location
90 Glenda Trce Ste C
Newnan, GA 30265-3868
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Phone (586) 350-2644
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.