PEACH STATE PEDIATRIC THERAPY INC.
NPI 1073630992
Specialist in Lawrenceville, GA

Active since March 24, 2007
457 AUTUMN PARK TRCE, LAWRENCEVILLE, GA 30044(678) 524-3451(770) 921-7380 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peach State Pediatric Therapy Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEACH STATE PEDIATRIC THERAPY INC. (NPI 1073630992) is a healthcare organization registered as a specialist in Lawrenceville, Georgia and active in the NPI registry since March 2007. The organization lists Margaret Ann Kuneyl, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073630992
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePEACH STATE PEDIATRIC THERAPY INC.
Location Address457 AUTUMN PARK TRCELawrenceville, GA 30044-7421
Mailing Address457 Autumn Park TrceLawrenceville, GA 30044-7421 · (678) 524-3451 · Fax (770) 921-7380
Fax(770) 921-7380
Organization SubpartNo
Authorized OfficialMargaret Ann KuneylCeo · (678) 524-3451
Enumeration DateMarch 24, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1073630992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in GA · OT002948
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

457 AUTUMN PARK TRCE, Lawrenceville, GA 30044

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
457 AUTUMN PARK TRCE
LAWRENCEVILLE, GA 30044
Specialist
457 AUTUMN PARK TRCE
LAWRENCEVILLE, GA 30044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peach State Pediatric Therapy Inc.'s NPI number?

The NPI number for Peach State Pediatric Therapy Inc. is 1073630992. It was assigned to this organization in the NPPES registry on March 24, 2007.

Where is Peach State Pediatric Therapy Inc. located?

Peach State Pediatric Therapy Inc. is located at 457 Autumn Park Trce, Lawrenceville, GA 30044. The listed phone number is (678) 524-3451.

What is Peach State Pediatric Therapy Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Peach State Pediatric Therapy Inc. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.