Healthcare Provider Details

I. General information

NPI: 1245055250
Provider Name (Legal Business Name): SECOND OPINION PHYSICAL THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2024
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1835 E PARK PLACE BLVD STE 111
STONE MOUNTAIN GA
30087-3457
US

IV. Provider business mailing address

1835 E PARK PLACE BLVD STE 111
STONE MOUNTAIN GA
30087-3457
US

V. Phone/Fax

Practice location:
  • Phone: 770-525-0885
  • Fax: 770-755-5315
Mailing address:
  • Phone: 770-525-0885
  • Fax: 770-755-5315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YUXIN ZHOU
Title or Position: PRESIDENT/OWNER
Credential: PT, DPT
Phone: 678-467-6852