Healthcare Provider Details

I. General information

NPI: 1679906309
Provider Name (Legal Business Name): JEFFREY SCOTT CAIN PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2013
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3929 PEACHTREE RD NE STE 220
BROOKHAVEN GA
30319-3374
US

IV. Provider business mailing address

955 JUNIPER ST NE UNIT 1217
ATLANTA GA
30309-5105
US

V. Phone/Fax

Practice location:
  • Phone: 678-684-2220
  • Fax: 678-802-3142
Mailing address:
  • Phone: 609-706-0808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT012253
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: