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

Raegan Wieder

Individual provider Physical Therapist · NPI 1710795042

Raegan Wieder is a Physical Therapist in Private Practice in Lawrenceville, Georgia. Graduated from Mercer University School of Medicine in 2024, 2 years ago. Practices with Benchmark Physical Therapy, Inc, a 71-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
2
Trained at
Mercer University School of Medicine
Licensed in
GA
In the registry since
2024
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Practice location Address checks out

860 Duluth Hwy Ste 140
Lawrenceville, GA 30043-5336
Phone: (470) 410-1444
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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 PT017530 (GA)

Record details

NPI number1710795042
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 19, 2024
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Benchmark Physical Therapy, Inc — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lawrenceville