Healthcare Provider Details

I. General information

NPI: 1447177522
Provider Name (Legal Business Name): REGAN HADLEY PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2270 DULUTH HWY
DULUTH GA
30097-4141
US

IV. Provider business mailing address

3324 PEACHTREE RD NE UNIT 1606
ATLANTA GA
30326-1478
US

V. Phone/Fax

Practice location:
  • Phone: 407-785-5437
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT017714
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: