OrganizationActive
Re Generate Physiotherapy, LLC
NPI 1558853085 · Orthopedic Physical Therapist · Fayetteville, GA
Provider details
- NPI number
- 1558853085
- Entity type
- Organization
- Primary specialty
- Orthopedic Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Mcgowan, Business Owner/Physical Therapist(678) 506-0196
- License
- PT011852 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
1240 Ga-54
Building 700
Fayetteville, GA 30214
Phone: (678) 506-0196
Fax: (706) 611-0436
Approximate (ZIP-level) locationGet directions
Mailing address
250 Essex Circle
Fayetteville, GA 30215
Registry dates
- Enumerated
- 2018-05-31
- Last updated
- 2018-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.