Pemberton & Associates

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT002327 Issued in GA

Legal business name

PEMBERTON & ASSOCIATES

Practice address

2253 Allegheny LN
Watkinsville, GA 30677-8347

Phone

(770) 725-9271

Fax

(770) 725-2985

NPI assigned

Dec 18, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Gregory A Pemberton, PT/OTRNPI 1093938722

Title

Ceo

Phone

(770) 725-9271

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory A Pemberton, RPT AND OTR

  • Physical Therapist
  • Watkinsville, GA
  • NPI 1093938722
  NPD (past) Authorized official

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1558782474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2253 ALLEGHENY LN",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306778347",
            "telephone_number": "770-725-9271",
            "fax_number": "770-725-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2253 ALLEGHENY LN",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306778347",
            "telephone_number": "770-725-9271",
            "fax_number": "770-725-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEMBERTON & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-18",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "PEMBERTON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-725-9271",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT/OTR"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT002327",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT000620",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093938722",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pathways Therapy, Inc (Holly R Johnson, LCSW)
• Morgan Marie Patton-Brown
• Sydney Payne, PT, DPT
• Jeffrey David Pearce, MD
• Daniel Pelletier
• Gregory A Pemberton, RPT AND OTR
• James Pemberton, PTA
• Julio Ernesto Pena, M.D.
• Amanda Peterson, RBT
• Sabrina Peterson, PHARM D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.