PHYSIOEDGE, LLC
NPI 1982874863
Clinic/Center - Physical Therapy in Marietta, GA

Active since March 06, 2008
670 NORTH AVE NW, SUITE 201, MARIETTA, GA 30060(770) 792-8081(770) 792-8083 Get Directions Write a Review

NPPES record last updated: March 23, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Physioedge, Llc NPPES

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

PHYSIOEDGE, LLC (NPI 1982874863) is a healthcare organization registered as a physical therapy in Marietta, Georgia and active in the NPI registry since March 2008. The organization lists Al Wynne Querubin Gesite, Owner, as its authorized official.

NPPES Registry Identity

NPI1982874863
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NamePHYSIOEDGE, LLC
Location Address670 NORTH AVE NW, SUITE 201Marietta, GA 30060-1100
Mailing Address223 Millstone PkwyWoodstock, GA 30188-6139 · (404) 771-0554 · Fax (770) 792-8083
Fax(770) 792-8083
Organization SubpartNo
Authorized OfficialAl Wynne Querubin GesiteOwner · (404) 771-0554
Enumeration DateMarch 6, 2008
Last NPPES UpdateMarch 23, 2012
✔ NPI 1982874863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
670 NORTH AVE NW, Marietta, GA 30060

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Physioedge, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Physioedge, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1801066790
670 NORTH AVE NW SUITE C
Marietta, GA 30060
(404) 771-0554
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1154754059
1365 CLIFTON RD NE SUITE B2200
Atlanta, GA 30322
(404) 778-5770
✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Physioedge, LLC's NPI number?

The NPI number for Physioedge, LLC is 1982874863. It was assigned to this organization in the NPPES registry on March 6, 2008.

Where is Physioedge, LLC located?

Physioedge, LLC is located at 670 North Ave NW Suite 201, Marietta, GA 30060. The listed phone number is (770) 792-8081.

What is Physioedge, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Physioedge, LLC enrolled in Medicare?

Yes. Physioedge, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Physioedge, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Physioedge, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Physioedge, LLC was last updated on March 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.