Gina Marie Toffenetti-Guertin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011721 Issued in GA

Practice address

1295 Hembree Rd Ste A201
Roswell, GA 30076-4953

Phone

(678) 731-7772

Fax

(678) 731-7773

NPI assigned

Jul 17, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1487038535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 HEMBREE RD STE A201",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764953",
            "telephone_number": "678-731-7772",
            "fax_number": "678-731-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 HEMBREE RD STE A201",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764953",
            "telephone_number": "678-731-7772",
            "fax_number": "678-731-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOFFENETTI-GUERTIN",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA STATE LICENSE NUMBER",
            "identifier": "PT011721",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Roswell, GA
• Providers in Roswell, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.