Individual provider Active NPI

Gary Pratt, P.T.

  • Physical Therapist
  • Carrollton, GA
National Provider Identifier
1568592277
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT010234 Issued in GA
Practice address
120 Cunningham Dr Ste F
Carrollton, GA 30117-2818
Phone
(678) 664-1467
Fax
(678) 664-1483
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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 PT010234 GA Primary

Addresses

Primary practice location

120 Cunningham Dr Ste F
Carrollton, GA 30117-2818

Mailing address

120 Cunningham Dr
Ste F
Carrollton, GA 30117-2818
Phone (678) 664-1467

Other practice location 1

500 Nathan Dean Blvd Ste 108
Dallas, GA 30157-4912
Phone (678) 402-7770

Other practice location 2

2987 Chapel Hill Rd Ste 102
Douglasville, GA 30135-1784
Phone (770) 947-8177

Other practice location 3

2000 Mirror Lake Blvd Ste S
Villa Rica, GA 30180-2126
Phone (770) 456-7877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Accel Physical Therapy Inc Physical Therapist PastSince Jul 1, 2007 Accepting new patients
R&R Physical Therapy Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1568592277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CUNNINGHAM DR",
            "address_2": "STE F",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301172818",
            "telephone_number": "678-664-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CUNNINGHAM DR STE F",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301172818",
            "telephone_number": "678-664-1467",
            "fax_number": "678-664-1483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Nathan Dean Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "GA",
            "postal_code": "301574912",
            "country_code": "US",
            "telephone_number": "678-402-7770",
            "fax_number": "678-402-6947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2987 Chapel Hill Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301351784",
            "country_code": "US",
            "telephone_number": "770-947-8177",
            "fax_number": "770-947-8377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Mirror Lake Blvd Ste S",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301802126",
            "country_code": "US",
            "telephone_number": "770-456-7877",
            "fax_number": "770-456-7880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATT",
        "first_name": "GARY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.