Organization Active NPI

Gaudio Inc. Dba Cherokee Physiotherapy

  • Physical Therapy Clinic/Center
  • Woodstock, GA
National Provider Identifier
1558406397
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
002251 PT Issued in GA
Legal business name
GAUDIO INC. DBA CHEROKEE PHYSIOTHERAPY
Practice address
7914 Highway 92
100
Woodstock, GA 30189-5238
Phone
(770) 924-3498
Fax
(770) 924-3692
NPI assigned
Feb 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Maria B Gaudio, P.T.,CMDTNPI 1851574966
Title
Owner
Phone
(770) 924-3498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 002251 PT GA Primary

Addresses

Primary practice location

7914 Highway 92
100
Woodstock, GA 30189-5238

Mailing address

7914 Highway 92
100
Woodstock, GA 30189-5238
Phone (770) 924-3498

Other identifiers 1

IdentifierTypeStateIssuer
00844951AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Gaudio Inc Dba Cherokee Physiotherapy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558406397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7914 HIGHWAY 92",
            "address_2": "100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895238",
            "telephone_number": "770-924-3498",
            "fax_number": "770-924-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7914 HIGHWAY 92",
            "address_2": "100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895238",
            "telephone_number": "770-924-3498",
            "fax_number": "770-924-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAUDIO INC. DBA CHEROKEE PHYSIOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAUDIO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-924-3498",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T.,CMDT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "002251 PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00844951A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.