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DEIRDRE DOLAN DOUGLASS P.T.
NPI 1598825747
Physical Therapist - Pediatrics in Conyers, GA

Active since December 11, 2006
586 CLUBLAND CIR SE, CONYERS, GA 30094(770) 785-7908(770) 785-7908 Get Directions Write a Review

NPPES record last updated: September 17, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deirdre Dolan Douglass P.t. NPPES

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

DEIRDRE DOLAN DOUGLASS P.T. (NPI 1598825747) is an individual pediatrics provider in Conyers, Georgia, licensed in Georgia (PT003272) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1598825747
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameDEIRDRE DOLAN DOUGLASSCredential: P.T.
Location Address586 CLUBLAND CIR SEConyers, GA 30094-3626
Mailing Address586 Clubland Cir SeConyers, GA 30094-3626 · (770) 785-7908 · Fax (770) 785-7908
Phone(770) 785-7908
Fax(770) 785-7908
Sole ProprietorYes
Enumeration DateDecember 11, 2006
Last NPPES UpdateSeptember 17, 2012
✔ NPI 1598825747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in GA · PT003272
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
586 CLUBLAND CIR SE, Conyers, GA 30094
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Other Identifiers 3

Medicaid322094GA
Medicaid000711763BGA
Medicaid10057878GA

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 Deirdre Douglass's NPI number?

The NPI number for Deirdre Douglass is 1598825747. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Deirdre Douglass located?

Deirdre Douglass practices at 586 Clubland Cir SE, Conyers, GA 30094. The listed phone number is (770) 785-7908.

What is Deirdre Douglass's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Deirdre Douglass was last updated on September 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.