MRS. DENISE NICOLE DURHAM PT
NPI 1649608068
Physical Therapist - Geriatrics in Lawrenceville, GA

Q: What is Denise Durham's NPI number?

The NPI number for Denise Durham is 1649608068. It was assigned to this individual provider in the NPPES registry on October 22, 2013. The provider is also known as Mrs. Denise Nicole Johnson Pt.

Q: What is Denise Durham's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Q: When was this NPI record last updated?

The NPPES record for Denise Durham was last updated on October 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since October 22, 2013

2899 FIVE FORKS TRICKUM RD, LAWRENCEVILLE, GA 30044(770) 982-9969 Get Directions Write a Review

NPPES record last updated: October 22, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Denise Nicole Durham Pt NPPES

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

MRS. DENISE NICOLE DURHAM PT (NPI 1649608068) is an individual geriatrics provider in Lawrenceville, Georgia, licensed in Georgia (5562) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1649608068

Entity TypeIndividualFemale

Primary Taxonomy2251G0304X

Provider Legal NameMRS. DENISE NICOLE DURHAMCredential: PT

Location Address2899 FIVE FORKS TRICKUM RDLawrenceville, GA 30044-5803

Mailing Address1035 Gunter CtAlpharetta, GA 30022-3503 · (770) 846-6336 · Fax (847) 386-5196

Phone(770) 982-9969

Sole ProprietorNo

Enumeration DateOctober 22, 2013

✔ NPI 1649608068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251G0304X

License✔ Licensed in GA · 5562

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

2899 FIVE FORKS TRICKUM RD, Lawrenceville, GA 30044

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Other Names 1

Former Name (1)Mrs. Denise Nicole Johnson Pt

Other Providers at the Same Location NPPES 9

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

GREG BROOKS

Physical Therapy Assistant