Provider Demographics
NPI:1689608374
Name:DELBEAU, ELANA BIER (PT)
Entity type:Individual
Prefix:
First Name:ELANA
Middle Name:BIER
Last Name:DELBEAU
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ELANA
Other - Middle Name:BIER
Other - Last Name:LARRIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2026 TOWNSHIP DR
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30189-5243
Mailing Address - Country:US
Mailing Address - Phone:770-605-7669
Mailing Address - Fax:
Practice Address - Street 1:5580 ROSWELL RD
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30342-1861
Practice Address - Country:US
Practice Address - Phone:404-351-5307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT007863225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA65BBDRJMedicare ID - Type Unspecified
GA65BBDRKMedicare ID - Type Unspecified
GAGRP4895Medicare ID - Type UnspecifiedGROUP NUMBER
GAGRP7336Medicare ID - Type UnspecifiedGROUP NUMBER