Individual provider Active NPI

Ryan Lee Reid, PT

  • Physical Therapist
  • Chamblee, GA
National Provider Identifier
1942676747
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012091 Issued in GA
Practice address
5576 Peachtree Rd Ste 103
Chamblee, GA 30341-2332
Phone
(404) 446-3633
Fax
(404) 446-3669
NPI assigned
Aug 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X GA
Physical Therapist 225100000X PT012091 GA Primary

Addresses

Primary practice location

5576 Peachtree Rd Ste 103
Chamblee, GA 30341-2332

Mailing address

5576 Peachtree Rd Ste 103
Chamblee, GA 30341-2332
Phone (404) 446-3633

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151102001606 GA Practitioner - Physical Therapist in Private Practice 1850601964 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
2DRS Plus Investment Group, LLCGroup PAC ID 2567845951, 10 clinicians

Practice addresses (Care Compare)

2745 Sandy Plains Rd
Suite 154
Marietta, GA 30066-4396
Phone (770) 783-1171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT012091GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Aug 19, 2015 Accepting new patients
2DRS Plus Investment Group, LLC CurrentSince Jan 3, 2022 Accepting new patients
DCN1, LLC Physical Therapist CurrentSince Jun 7, 2022 Accepting new patients
Leger Therapy Services Inc. CurrentSince Jul 1, 2020 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Aug 19, 2015 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Aug 19, 2015 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Aug 19, 2015 Accepting new patients

Locations

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

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

5576 Peachtree Rd
Ste 103
Chamblee, GA 30341
Phone (404) 213-1683

500 Lanier Ave W
Ste 303
Fayetteville, GA 30214
Phone (770) 716-8885

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

3940 Cherokee St NW
Ste 201
Kennesaw, GA 30144
Phone (770) 573-3212

2745 Sandy Plains Rd
Ste 154
Marietta, GA 30066
Phone (770) 783-1171

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

2295 Towne Lake Pkwy
Ste 148
Woodstock, GA 30189
Phone (770) 926-2744

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

8823 Production Ln
Ooltewah, TN 37363
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": "1439596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1942676747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5576 PEACHTREE RD STE 103",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412332",
            "telephone_number": "404-446-3633",
            "fax_number": "404-446-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5576 PEACHTREE RD STE 103",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412332",
            "telephone_number": "404-446-3633",
            "fax_number": "404-446-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "RYAN",
        "middle_name": "LEE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-15",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chamblee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.