Active NPI
Mariah Brianna Gamble, PT, DPT
- Physical Therapist
- Peachtree City, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015049
- Practice address
- 1280 Highway 74 S Ste 210
Peachtree City, GA 30269-3077 - Phone
- (770) 486-6398
- Fax
- (770) 486-6399
- NPI assigned
- Nov 9, 2020
- Sex
- Female
- 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 | PT015049 | GA | Primary |
Addresses
Primary practice location
1280 Highway 74 S Ste 210
Peachtree City, GA 30269-3077
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT015049 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Fox Rehabilitation Ga, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Independent Physical Therapy of Ga, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Emory Physical Therapy, LLC | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
21 Ortho Ln
Atlanta, GA 30329
Phone (404) 778-2516
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
1280 Highway 74 S
Ste 210
Peachtree City, GA 30269
Phone (770) 486-6398
277 Highway 74 N
Ste 203
Peachtree City, GA 30269
Phone (678) 364-0337
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Duluth, GA
- NPI 1083666903
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1922018423
-
- Physical Therapist
- Atlanta, GA
- NPI 1023544624
-
dba BenchMark Physical Therapy
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
-
- Physical Therapist
- Atlanta, GA
- NPI 1245826999
-
- Physical Therapist
- Cumming, GA
- NPI 1528350675
-
- Physical Therapy Clinic/Center
- Lithonia, GA
- NPI 1346119831
-
- Physical Therapy Clinic/Center
- Brookhaven, GA
- NPI 1720097561
-
dba Benchmark PT
- Physical Therapist
- Cumming, GA
- NPI 1639548209
-
dba Benchmark PT
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1417559170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 HIGHWAY 74 S STE 210",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302693077",
"telephone_number": "770-486-6398",
"fax_number": "770-486-6399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBLE",
"first_name": "MARIAH",
"middle_name": "BRIANNA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-09",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT015049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.