Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Beau Nikolas Peregino, DPT

Individual provider Physical Therapist · NPI 1164249033

Beau Nikolas Peregino, DPT is a Physical Therapist in Private Practice in Augusta, Georgia. Qualified in 2024, 2 years ago. Practices with Bellah Therapies LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1120 15th St
Augusta, GA 30912-0004
Phone: (706) 721-2743
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT017428 (GA)

Record details

NPI number1164249033
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedSeptember 23, 2024
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Bellah Therapies Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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