NPI age
4 years
Enumerated 2021-12-24
● Active
Type 1 · Individual
Lacey Antonio, PTA
Antonio is 1 of 4 physical therapy assistant providers in Leesburg and 1 of 1124 in Georgia.
Primary specialty
Physical Therapy Assistant
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2021-12-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1124 active physical therapy assistant providers in Georgia.
NPI age
4 years
↓ 5 yr below median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-12Enumerated in NPPES
2021
2026
Where they practice
Practice location
1360 Lovers Lane Rd
Leesburg, GA 317634544
Mailing address
1360 Lovers Lane Rd
Leesburg, GA 317634544
Specialties
-
Physical Therapy Assistant Primary(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
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 →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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