Individual provider · Type 1 NPI

Samantha Joelle Peacock, PTA

Physical Therapy Assistant · Suwanee, GA

NPI number 1750831103 Active

Practice location

3455 Peachtree Pkwy Ste 206
Suwanee, GA 30024

Fax (678) 473-1082

Mailing address

6397 Lee Hwy Ste 300
Chattanooga, TN 37421-2564

Other practice locations

  • 3721 Executive Center Dr #201, Austin Epic Health Services, Austin, TX 78758 · (512) 527-9608

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000X2124615 (TX)
Physical Therapy Assistant Primary 225200000XNone listed

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 …

5 other providers at this address

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About NPI 1750831103

Samantha Joelle Peacock, PTA's National Provider Identifier is 1750831103, issued on Oct 10, 2016. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Suwanee, GA. The record was last updated on May 24, 2018.