Active NPI
John J Gerega, DPT
- Physical Therapist
- Loganville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010089
- Practice address
- 2735 Loganville Hwy Ste B
Loganville, GA 30052 - Phone
- (724) 462-6644
- NPI assigned
- Sep 22, 2010
- Last updated
- May 12, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT010089 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Compass Pediatric Therapy, LLC | Current | Accepting new patients | |
| Drayer Physical Therapy Georgia LLC | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Loganville, GA
- NPI 1316503162
Physical Therapist
-
- Physical Therapist
- Loganville, GA
- NPI 1962830406
-
- Pediatric Physical Therapist
- Monroe, GA
- NPI 1689501678
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
- Georgia Health Services Network, L.L.C.
- Georgia Surgicare (IBI Urgent Care Center Loganville)
- Georgia Surgicare (IBI Loganville Pain and Spine)
- Georgia Surgicare
- Erica Geralds, MDIV, LPC, NCC
- Tessa Miche' Gerena-Diaz, FNP-C
- Getta Psychiatry & Wellness, LLC
- Husna Tasleem Ghafur, PHARM.D
- Gifted Hands Midwifery
- Natasha Giles, PMHNP
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.