OrganizationActive
Peach State Pediatric Therapy Inc.
NPI 1073630992 · Specialist · Lawrenceville, GA
Peach State Pediatric Therapy Inc. is a Specialist organization in Lawrenceville, GA (NPI 1073630992).
Provider details
- NPI number
- 1073630992
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Margaret Kuneyl, Ceo(678) 524-3451
- License
- OT002948 (GA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
457 Autumn Park Trce
Lawrenceville, GA 30044-7421
Phone: (678) 524-3451
Fax: (770) 921-7380
Street-level locationGet directions
Mailing address
457 Autumn Park Trce
Lawrenceville, GA 30044-7421
Registry dates
- Enumerated
- 2007-03-24
- Last updated
- 2020-08-22
Frequently asked questions
- What is Peach State Pediatric Therapy Inc.'s NPI number?
- Peach State Pediatric Therapy Inc.'s National Provider Identifier (NPI) is 1073630992, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peach State Pediatric Therapy Inc.?
- Peach State Pediatric Therapy Inc. is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Peach State Pediatric Therapy Inc. located?
- Peach State Pediatric Therapy Inc.'s practice location on file with NPPES is 457 Autumn Park Trce, Lawrenceville, GA 30044-7421.
- What is Peach State Pediatric Therapy Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Peach State Pediatric Therapy Inc. is (678) 524-3451.
- Who is the authorized official for Peach State Pediatric Therapy Inc.?
- The authorized official listed on Peach State Pediatric Therapy Inc.'s NPPES record is Margaret Kuneyl, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peach State Pediatric Therapy Inc.'s NPI active?
- Yes — Peach State Pediatric Therapy Inc.'s NPI (1073630992) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.