Individual provider Active NPI

John J Gerega, DPT

  • Physical Therapist
  • Loganville, GA
National Provider Identifier
1407164601
Registry record updated May 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010089 Issued in GA
Practice address
2735 Loganville Hwy Ste B
Loganville, GA 30052
Phone
(724) 462-6644
NPI assigned
Sep 22, 2010
Last updated
May 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT010089 GA Primary

Addresses

Primary practice location

2735 Loganville Hwy Ste B
Loganville, GA 30052

Mailing address

832 Ashland Falls Dr
Monroe, GA 30656-6305
Phone (724) 462-6644

Other practice location 1

1219 W Spring St
Monroe, GA 30655-1756
Phone (770) 207-6624

Other practice location 2

1219 W Spring St
Monroe, GA 30655-1756
Phone (770) 207-6624

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101201000849 GA Practitioner - Physical Therapist in Private Practice 0143416230 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Physical TherapyGroup PAC ID 7315276714, 7 clinicians

Practice addresses (Care Compare)

2735 Loganville Hwy
Suite B
Loganville, GA 30052-8615
Phone (678) 404-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT010089GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Physical Therapy Physical Therapist CurrentSince Apr 24, 2019 Accepting new patients
Compass Pediatric Therapy, LLC Current Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Jan 2, 2014 Accepting new patients

Locations

2735 Loganville Hwy
Ste B
Loganville, GA 30052
Phone (678) 404-7800

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

705 Breedlove Dr
Ste 300
Monroe, GA 30655
Phone (678) 635-7221

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

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": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557619200000",
    "number": "1407164601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 ASHLAND FALLS DR",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306566305",
            "telephone_number": "724-462-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 LOGANVILLE HWY STE B",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "30052",
            "telephone_number": "724-462-6644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1219 W Spring St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "GA",
            "postal_code": "306551756",
            "country_code": "US",
            "telephone_number": "770-207-6624",
            "fax_number": "770-207-6631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1219 W Spring St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "GA",
            "postal_code": "306551756",
            "country_code": "US",
            "telephone_number": "770-207-6624",
            "fax_number": "770-207-6631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEREGA",
        "first_name": "JOHN",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-22",
        "last_updated": "2019-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loganville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2019; 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.