SAMANTHA JOELLE PEACOCK (NPI# 1750831103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750831103 |
| Entity Type | Individual |
| Full Name | SAMANTHA JOELLE PEACOCK |
| Credential | PTA |
| Practice Address |
3455 Peachtree Pkwy Ste 206 Suwanee GA 30024 |
| Mailing Address |
6397 Lee Hwy Ste 300 Chattanooga TN 37421-2564 |
| Practice Telephone | 6784731081 |
| Practice Fax Number | 6784731082 |
| Mailing Telephone | 4232387217 |
| Mailing Fax Number | 4233628684 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2018-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | 2124615 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3721 Executive Center Dr #201, Austin Epic Health Services, Austin, TX 78758 | 5125279608 |
| Street Address |
3455 PEACHTREE PKWY STE 206 |
| City | SUWANEE |
| State | GA |
| Zip Code | 30024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366883746 | Independent Physical Therapy of Georgia, LLC | Clinic/Center | 3455 Peachtree Pkwy Ste 206, Suwanee, GA 30024-9104 | 2013-07-12 |
| 1821649690 | Qianyun Meng | Physical Therapist | 3455 Peachtree Pkwy Ste 206, Suwanee, GA 30024-9104 | 2019-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
| 1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
| 1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
| 1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
| 1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
| 1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
| 1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
| 1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
| Find all providers in zip 30024 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346672565 | Colleen Youtsey | Physical Therapy Assistant | 4815 Aldbury Ln, Suwanee, GA 30024-3303 | 2013-07-30 |
| 1952646259 | Catherine Akanle | Physical Therapy Assistant | 360 Hunt River Way, Suwanee, GA 30024-2744 | 2012-11-28 |
| 1669716908 | Julia Nineta Barsasteanu | Physical Therapy Assistant | 3296 Woodchuck Way, Suwanee, GA 30024-2083 | 2012-11-26 |
| 1285879791 | Kathleen Gildemeyer | Physical Therapy Assistant | 2576 Lawrenceville Suwanee Rd Ste 101, Suwanee, GA 30024-7291 | 2008-12-12 |
| 1578193645 | Czarlyn Howard | Physical Therapy Assistant | 1220 Satellite Blvd Nw, Suwanee, GA 30024-3223 | 2020-01-17 |
| 1043715774 | Jennifer Leigh Scibetta | Physical Therapy Assistant | 2576 Lawrenceville Suwanee Rd Ste 101, Suwanee, GA 30024-7291 | 2018-03-26 |
| 1912445065 | Joel Anthony Smith | Physical Therapy Assistant | 3455 Peachtree Pkwy, Ste 206, Suwanee, GA 30024-9104 | 2017-02-09 |
| 1174847578 | Cindy Chapman | Physical Therapy Assistant | 2576 Lawrenceville Suwanee Rd, Suwanee, GA 30024-7290 | 2010-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787078 | Karen Welch | Physical Therapy Assistant | 7730 Wallace Tatum Rd, Cumming, GA 30028-7917 | 2020-10-09 |
| 1346857554 | Kaylea Kerr | Physical Therapy Assistant | 4450 Straight Gut Rd, La Fayette, GA 30728-6752 | 2020-09-30 |
| 1821605551 | Hannah Joy Hopkins | Physical Therapy Assistant | 600 Redmond Rd Nw Apt B6, Rome, GA 30165-1434 | 2020-09-27 |
| 1073129342 | Monique Allen | Physical Therapy Assistant | 203 S Lancaster St, Dublin, GA 31021-3423 | 2020-09-21 |
| 1376156117 | Melissa Massingale | Physical Therapy Assistant | 965 Piedmont Rd Ne Ste 200, Marietta, GA 30066-5493 | 2020-08-30 |
| 1821609835 | Shonta Monique Houston | Physical Therapy Assistant | 110 Link St Apt 3l, Hinesville, GA 31313-4430 | 2020-08-13 |
| 1376154740 | Marina Montgomery | Physical Therapy Assistant | 8930 River Landing Way, Sandy Springs, GA 30350-1620 | 2020-08-11 |
| 1780292557 | Jennifer Lynne Cicora | Physical Therapy Assistant | 775 Epps Bridge Pkwy, Athens, GA 30606-3350 | 2020-07-17 |
| 1184244907 | Chelsea Dick | Physical Therapy Assistant | 6659 Peachtree Industrial Blvd Ste I, Norcross, GA 30092-4300 | 2020-04-22 |
| 1467072769 | Jason Cardillo | Physical Therapy Assistant | 906 Grier St, Woodstock, GA 30189-7811 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
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| 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.