MRS. DENISE NICOLE DURHAM (NPI# 1649608068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649608068 |
| Entity Type | Individual |
| Full Name | MRS. DENISE NICOLE DURHAM |
| Other Name | MRS. DENISE NICOLE JOHNSON |
| Credential | PT |
| Practice Address |
2899 Five Forks Trickum Rd Lawrenceville GA 30044-5803 |
| Mailing Address |
1035 Gunter Ct Alpharetta GA 30022-3503 |
| Practice Telephone | 7709829969 |
| Mailing Telephone | 7708466336 |
| Mailing Fax Number | 8473865196 |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
5562 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2899 FIVE FORKS TRICKUM RD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30044-5803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972931590 | Judy Carol Franscoviak | Physical Therapy Assistant | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2013-10-16 |
| 1649713785 | Marcia Mahoney | Point of Service | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2016-11-21 |
| 1154872356 | Greg Brooks | Physical Therapy Assistant | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2016-10-22 |
| 1518418714 | Rachel Brooks | Physical Therapy Assistant | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2016-10-22 |
| 1457730764 | Jamie Sackett | Physical Therapist | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2015-05-20 |
| 1881024883 | Kathy Martin-wagner | Physical Therapy Assistant | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2013-11-13 |
| 1811325236 | Estelle Froehbrodt | Physical Therapy Assistant | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2013-10-22 |
| 1881022382 | Colleen Curcillo Brennan | Speech-Language Pathologist | 2899 Five Forks Trickum Rd, Lawrenceville, GA 30044-5803 | 2013-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
| 1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
| 1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
| 1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
| 1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
| Find all providers in zip 30044 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407254253 | Naja Saleem Martin | Physical Therapist | 1375 Webb Gin House Rd, Lawrenceville, GA 30045-5440 | 2014-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952509 | Stephanie Miller | Physical Therapist | 313 Furys Ferry Rd, Martinez, GA 30907-3001 | 2020-11-05 |
| 1861965204 | Tamphamani Chiragkumar Patel | Physical Therapist | 1235 Briers Creek Dr, Alpharetta, GA 30004-7116 | 2019-01-08 |
| 1356818652 | Excelarate Physical Therapy | Physical Therapist | 216 Harrison Ln, Brunswick, GA 31520-1959 | 2018-10-25 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316482755 | Corinthias Burnett | Physical Therapist | 7090 Arbor Pkwy Apt 1427, Douglasville, GA 30135-1583 | 2016-12-20 |
| 1124407929 | Jennifer Anne Upham X | Physical Therapist | 4216 Bridlecreek Dr Nw, Acworth, GA 30101-3872 | 2015-05-26 |
| 1801138540 | Terri Coley | Physical Therapist | 5357 Mccaghren Dr, Columbus, GA 31909-4184 | 2013-03-20 |
| 1578809174 | Marjorie Pomeroy Baker | Physical Therapist | 223 S Crawford St, Thomasville, GA 31792-5504 | 2012-12-31 |
| 1730377169 | Penny Wright | Physical Therapist | 1981 Sandcreek Dr Sw, Atlanta, GA 30331-8404 | 2007-10-10 |
| 1558583773 | Seetal J Deluca | Physical Therapist | 3581 Braselton Hwy, Dacula, GA 30019-1027 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30044 |
Please comment or provide details below to improve the information on MRS. DENISE NICOLE DURHAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.