Individual provider Active NPI

Gina Woodward Furter, DPT, ATC

  • Physical Therapist
  • Braselton, GA
National Provider Identifier
1215282967
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016097 Issued in GA
Practice address
5775 Old Winder Hwy
Braselton, GA 30517-1603
Phone
(678) 866-4104
Fax
(678) 668-7011
NPI assigned
Jul 18, 2012
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13745 NC
Physical Therapist 225100000X PT016097 GA Primary

Addresses

Primary practice location

5775 Old Winder Hwy
Braselton, GA 30517-1603

Mailing address

PO Box 949
Rome, GA 30162-0949
Phone (678) 866-4104

Other practice location 1

905 Old Winston Rd Ste B
Kernersville, NC 27284-6640
Phone (336) 992-2787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221108002883 GA Practitioner - Physical Therapist in Private Practice 1355599598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5775 Old Winder Hwy
Braselton, GA 30517-1603
Phone (678) 866-4104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13745NCMDProfessional Counselor
PT016097GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Sep 26, 2022 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Sep 26, 2022 Accepting new patients
Carolina Physical Therapy Specialists, Inc Physical Therapist CurrentSince Jul 26, 2012 Accepting new patients

Locations

7423 Adairsville Hwy
Adairsville, GA 30103
Phone (770) 373-9315

1181 Hammond Dr NE
Ste 101
Atlanta, GA 30346
Phone (470) 377-8464

60 11th St NE
Ste 4
Atlanta, GA 30309
Phone (224) 432-5276

5775 Old Winder Hwy
Braselton, GA 30517
Phone (678) 761-6866

665 Scranton Rd
Ste 3
Brunswick, GA 31520
Phone (912) 280-9205

136 W Belmont Dr
Ste 12
Calhoun, GA 30701
Phone (706) 625-0662

1566 Rome Hwy
Cedartown, GA 30125
Phone (706) 378-9044

2045 Centre Stone Ct
Ste B
Columbus, GA 31904
Phone (706) 257-4189

215 First St
Folkston, GA 31537
Phone (912) 496-7428

620 J L White Dr
Ste 110
Jasper, GA 30143
Phone (706) 692-9080

1000 Johnson Ferry Rd
Ste A115
Marietta, GA 30068
Phone (404) 367-2085

100 Three Rivers Dr NE
Ste C
Rome, GA 30161
Phone (706) 295-0081

224 Shorter Ave NW
Rome, GA 30165
Phone (706) 235-2727

100 Lindsey Ln
Ste A
Saint Marys, GA 31558
Phone (912) 729-1333

212 Retreat Vlg
St Simons Island, GA 31522
Phone (912) 638-1444

11638 Highway 27
Ste 1
Summerville, GA 30747
Phone (706) 857-6366

1180 Satellite Blvd NW
Ste 100
Suwanee, GA 30024
Phone (404) 367-2080

905 Old Winston Rd
Ste B
Kernersville, NC 27284
Phone (336) 287-5526

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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1215282967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 949",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620949",
            "telephone_number": "678-866-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 OLD WINDER HWY",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305171603",
            "telephone_number": "678-866-4104",
            "fax_number": "678-668-7011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Old Winston Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272846640",
            "country_code": "US",
            "telephone_number": "336-992-2787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FURTER",
        "first_name": "GINA",
        "middle_name": "WOODWARD",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "13745",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braselton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.