Melissa Rae Gore, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PTA002534 Issued in GA

Practice address

1013 Main St
Perry, GA 31069-3353

Phone

(478) 988-8852

NPI assigned

Jul 13, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sapp'S Physical Therapy Services, Inc.

  • Physical Therapy Clinic/Center
  • Perry, GA
  • NPI 1437399219
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247443200000",
    "number": "1457580300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 COMMERCE ST",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310361138",
            "telephone_number": "478-738-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 MAIN ST",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310693353",
            "telephone_number": "478-988-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORE",
        "first_name": "MELISSA",
        "middle_name": "RAE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "PTA002534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Em-I Medical Services, PC
• Mollie Giddens
• Harold Brian Gillis, D.C.
• Peggy Golden, LCSW
• Shayna Nicole Gordon
• Lauren Haynie Grahl, O.D.
• Reagan Gravitt
• Robert D. Gray, D.C.
• Joshua Thomas Guley, DMD
• J'Quan Edward Gulley

• Physical Medicine & Rehabilitation Physician in Perry, GA
• Providers in Perry, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.