SAMANTHA JOELLE PEACOCK PTA
NPI 1750831103
Physical Therapy Assistant in Suwanee, GA

Active since October 10, 2016
3455 PEACHTREE PKWY STE 206, SUWANEE, GA 30024(678) 473-1081(678) 473-1082 Get Directions Write a Review

NPPES record last updated: May 24, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 24, 2018, Oct 10, 2016 (2 updates tracked since 2016).

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About Samantha Joelle Peacock Pta NPPES

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

SAMANTHA JOELLE PEACOCK PTA (NPI 1750831103) is a physical therapy assistant provider in Suwanee, Georgia, licensed in Texas (2124615) and active in the NPI registry since October 2016. She maintains a secondary practice location in Austin.Information from the official NPPES registry record, last updated May 24, 2018.

NPPES Registry Identity

NPI1750831103
Entity TypeIndividualFemale
Provider Legal NameSAMANTHA JOELLE PEACOCKCredential: PTA
Location Address3455 PEACHTREE PKWY STE 206Suwanee, GA 30024
Mailing Address6397 Lee Hwy Ste 300Chattanooga, TN 37421-2564 · (423) 238-7217 · Fax (423) 362-8684
Fax(678) 473-1082
Sole ProprietorNo
Enumeration DateOctober 10, 2016
Last NPPES UpdateMay 24, 2018
NPI 1750831103 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Physical Therapy Assistant

Taxonomy 225200000X · Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Licensed in TX · 2124615

(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency… Show more

3455 PEACHTREE PKWY STE 206, Suwanee, GA 30024

Also on File with NPPES

Secondary Location1
3721 Executive Center Dr #201, Austin Epic Health Services
Austin, TX 78758
Phone (512) 527-9608
Last updated in NPPES on May 24, 2018 · 2 updates tracked since enumeration.

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Clinic/Center (Physical Therapy)
3455 PEACHTREE PKWY STE 206
SUWANEE, GA 30024
Physical Therapist
3455 PEACHTREE PKWY STE 206
SUWANEE, GA 30024
Physical Therapist
3455 PEACHTREE PKWY STE 206
SUWANEE, GA 30024
Physical Therapist
3455 PEACHTREE PKWY STE 206
SUWANEE, GA 30024
Physical Therapist
3455 PEACHTREE PKWY STE 206
SUWANEE, GA 30024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750831103, enumerated as an "individual" on October 10, 2016.

The provider is located at 3455 PEACHTREE PKWY STE 206 SUWANEE, GA 30024 and the phone number is (678) 473-1081.

Physical Therapy Assistant with taxonomy code 225200000X.