Provider Demographics
NPI:1922331255
Name:HUGHES, REGINA DIANE (PT DPT)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:DIANE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PT DPT
Other - Prefix:
Other - First Name:DIANE
Other - Middle Name:
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT DPT
Mailing Address - Street 1:3895 SCHOONER RDG
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4291
Mailing Address - Country:US
Mailing Address - Phone:770-380-8682
Mailing Address - Fax:
Practice Address - Street 1:3895 SCHOONER RDG
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-4291
Practice Address - Country:US
Practice Address - Phone:770-380-8682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-18
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAPT005465OtherPT DPT