Active NPI
Margaret Mary Gebhardt, PT,DPT,OCS,FAAOMPT
- Sports Physical Therapist
- Boulder, CO
National Provider Identifier
1073767216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- PTL.0020977
- Practice address
- 2760 29TH St Ste 1B
Boulder, CO 80301-1221 - Phone
- (720) 772-6780
- Fax
- (844) 697-5513
- NPI assigned
- Nov 14, 2008
- Last updated
- Aug 25, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | PTL.0020977 | CO | Primary |
| Sports Physical Therapist | 2251S0007X | PT009474 | GA | |
| Orthopedic Physical Therapist | 2251X0800X | PTL.0020977 | CO | |
| Orthopedic Physical Therapist | 2251X0800X | PT009474 | GA |
Addresses
Primary practice location
2760 29TH St Ste 1B
Boulder, CO 80301-1221
Mailing address
2760 29TH St Ste 1B
Boulder, CO 80301-1221
Phone (720) 772-6780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT009464 | GA | MD | Sports Physical Therapist |
| 009474 | GA | MD | Orthopedic Physical Therapist |
| PT009474 | GA | MD | Orthopedic Physical Therapist |
| 4808 | NV | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Motion Stability, LLC | Current | Accepting new patients | |
| Mend PLLC | Sports | Past | Accepting new patients |
| Westside Physical Therapy, LLC | Sports | Past | Accepting new patients |
Locations
3280 Peachtree Rd NE
Ste 225
Atlanta, GA 30305
Phone (404) 254-4193
550 Pharr Rd NE
Ste 550
Atlanta, GA 30305
Phone (404) 382-8702
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1174760896
-
dba Movement Sports Physical Therapy, LLC
- Orthopedic Physical Therapist
- Atlanta, GA
- NPI 1669862769
Sports
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1073767216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760 29TH ST STE 1B",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011221",
"telephone_number": "720-772-6780",
"fax_number": "844-697-5513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2760 29TH ST STE 1B",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011221",
"telephone_number": "720-772-6780",
"fax_number": "844-697-5513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBHARDT",
"first_name": "MARGARET",
"middle_name": "MARY",
"credential": "PT,DPT,OCS,FAAOMPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-14",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "CO",
"license": "PTL.0020977",
"primary": true
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "GA",
"license": "PT009474",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CO",
"license": "PTL.0020977",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "GA",
"license": "PT009474",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.