Individual provider Active NPI

Margaret Mary Gebhardt, PT,DPT,OCS,FAAOMPT

  • Sports Physical Therapist
  • Boulder, CO
National Provider Identifier
1073767216
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
PTL.0020977 Issued in CO
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT009464GAMDSports Physical Therapist
009474GAMDOrthopedic Physical Therapist
PT009474GAMDOrthopedic Physical Therapist
4808NVMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Stability, LLC CurrentSince Apr 1, 2013 Accepting new patients
Mend PLLC Sports PastSince Apr 1, 2015 Accepting new patients
Westside Physical Therapy, LLC Sports PastSince Jan 23, 2017 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.

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.

Verify at the official NPI Registry.