Manuel Garcia-Gaona, PT, DPT
Individual provider Active NPI Physical Therapist · Colbert, GA
NPI 1134559958 · NPPES record last updated Nov 14, 2013
Key facts
- NPI
- 1134559958
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PTP-PT-LIC-6045 (MT)
- Practice address
- 19 Dogwood Dr
Colbert, GA 30628-1512 - Phone
- (770) 539-0011
- NPI assigned
- Nov 14, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTP-PT-LIC-6045 | MT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTP-PT-LIC-6045 | MT | Yes |
Addresses
Primary practice location
19 Dogwood Dr
Colbert, GA 30628-1512
Mailing address
19 Dogwood Dr
Colbert, GA 30628-1512
Phone (770) 539-0011
Other providers in Colbert, GA
- Colbert Pharmacy Inc 127 4TH St
- Robyn Cain Crouse
- Matthew Davis
- Nicole Ford
- Jimmie Lee Fowler III
- Evan Grovenstein
- Yvette Henderson
- Jordan Hoffman
- Alicia M Hopkins
- Innovative Medical Group
All providers in Colbert, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.