Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lacey Katelyn Lackey, DPT

Individual provider Physical Therapist · NPI 1780090506

Lacey Katelyn Lackey, DPT is a Physical Therapist in Private Practice in Winder, Georgia. Qualified in 2014, 12 years ago. Practices with Atlanta Rehabilitation and Performance Center, a 96-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Licensed in
GA
In the registry since
2014
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

429 Loganville Hwy Ste 110
Winder, GA 30680-5630
Phone: (770) 318-8030
Fax: (770) 318-8031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1735 Buford Hwy, Cumming, GA 30041-1266 — (770) 887-0502

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT011462 (GA)

Record details

NPI number1780090506
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 2, 2014
Last updated in NPPESNovember 15, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Atlanta Rehabilitation And Performance Center — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Winder