MEDICARE: SECOND OPINION PHYSICAL THERAPY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2251S0007X	Sports Physical Therapist
2	2251N0400X	Neurology Physical Therapist
3	2251X0800X	Orthopedic Physical Therapist
4	2251G0304X	Geriatric Physical Therapist
5	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1245055250
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SECOND OPINION PHYSICAL THERAPY, LLC

Provider Business Mailing Address
First Line	:	1108 WESTCHESTER DR SW
Second Line	:
City	:	LILBURN
State	:	GA
Zip	:	30047-5443
Country	:	US
Telephone Number	:	678-467-6852
Fax Number	:

Provider Business Practice Location Address
First Line	:	1785-1835 E PARK PL BLVD
Second Line	:	SUITE 111
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30087
Country	:	US
Telephone Number	:	678-467-6852
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YUXIN ZHOU
Credential	:	DPT
Telephone Number	:	678-467-6852

Provider Enumeration Date	:	11/15/2024
Last Update Date	:	12/04/2025

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