Individual provider Active NPI

Giao Ong

  • Physical Therapist
  • Grayson, GA
National Provider Identifier
1467107763
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017304 Issued in GA
Practice address
2065 Grayson Hwy Ste B
Grayson, GA 30017-1766
Phone
(678) 376-0213
NPI assigned
Feb 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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 PT017304 GA Primary

Addresses

Primary practice location

2065 Grayson Hwy Ste B
Grayson, GA 30017-1766

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (866) 518-0283

Other practice location 1

975 Sereno Dr
Vallejo, CA 94589-2441
Phone (707) 651-4756

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241218001404 GA Practitioner - Physical Therapist in Private Practice 9830626662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benchmark Physical Therapy, IncGroup PAC ID 1557395209, 69 clinicians

Practice addresses (Care Compare)

2059 Scenic Hwy N
Suite C
Snellville, GA 30078-6142
Phone (678) 344-7197

2065 Grayson Hwy
Suite B
Grayson, GA 30017-1766
Phone (678) 376-0213

7130 Mount Zion Blvd
Suite 9
Jonesboro, GA 30236-2566
Phone (770) 603-5660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Oct 21, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Oct 21, 2024 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Oct 21, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Oct 21, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2865 N Druid Hills Rd NE
#B
Atlanta, GA 30329
Phone (404) 228-3678

2065 Grayson Hwy
Ste B
Grayson, GA 30017
Phone (678) 367-0213

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

860 Duluth Hwy
Ste 140
Lawrenceville, GA 30043
Phone (470) 410-1444

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

2059 Scenic Hwy N
Ste C
Snellville, GA 30078
Phone (470) 568-2818

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1467107763",
    "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": "866-518-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 GRAYSON HWY STE B",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171766",
            "telephone_number": "678-376-0213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Sereno Dr",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945892441",
            "country_code": "US",
            "telephone_number": "707-651-4756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONG",
        "first_name": "GIAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.