NPI age
19 years
Enumerated 2006-12-11
● Active
Type 1 · Individual
Deirdre Dolan Douglass, P.T.
Douglass is 1 of 1 physical therapist providers in Conyers and 1 of 278 in Georgia.
Primary specialty
Physical Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-09-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 278 active physical therapist providers in Georgia.
NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Practice location
586 Clubland Cir Se
Conyers, GA 300943626
Mailing address
586 Clubland Cir Se
Conyers, GA 300943626
Specialties
-
Physical Therapist PrimaryA licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 322094 | |
| 05 (GA) | 000711763B | |
| 05 (GA) | 10057878 |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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