Rosemary Leigh Marshall Corley, PT
Individual provider Active NPI Physical Therapist · Clermont, GA
NPI 1295894657 · NPPES record last updated Sep 1, 2015
Key facts
- NPI
- 1295894657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT005935 (GA)
- Practice address
- 5226 Dahlonega Hwy
Unit 3
Clermont, GA 30527-1946 - Phone
- (678) 616-3099
- Fax
- (770) 406-6840
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| PT005935 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ability Pediatric Therapy of Gainesville LLC | Physical Therapist | Past |
Accepting new patients |
| Ability Pediatric Therapy | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT005935 | GA | Yes |
Addresses
Primary practice location
5226 Dahlonega Hwy
Unit 3
Clermont, GA 30527-1946
Mailing address
2741 Quillians Dr
Gainesville, GA 30506-2885
Phone (678) 616-3099
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000812149H | Medicaid | GA | |
| 000812149D | Medicaid | GA |
Other providers in Clermont, GA
- Alyssa Claire Jackson
- Chelsea Jakel
- Sarah Macayla Jones
- Bria Kellar
- Jordan Loggins
- Linsey Martin
- Kelsey Nicole Martinez
- Molly Morales
- Haley Newman
- Nurtured by Nature Therapy LLC
All providers in Clermont, 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 Sep 1, 2015. 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.