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Ascension Physical Therapy and Performance Institute of Georgia LLC

NPI 1225990963ActiveOrganization· Physical Therapist· Atlanta, GA

Physical Therapist in Atlanta, Georgia, registered in NPPES in December 2025. The authorized official on file is Quinton Tyler Buckner, DPT, Owner/Physical Therapist. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.

Overview

NPI1225990963
StatusActive
Entity typeOrganization
NPI issuedDec 2, 2025
Last updated in NPPESDec 2, 2025
Certified by providerNov 30, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (GA)

Medicare sources and data years

Other Physical Therapist providers in Atlanta

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