Individual provider Active NPI

Thomas Gailes, PT

  • Physical Therapist
  • McDonough, GA
National Provider Identifier
1588694244
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT002079 Issued in GA
Practice address
35 Atlanta St
Suite 3a
McDonough, GA 30253-2162
Phone
(770) 954-9631
Fax
(770) 914-8182
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT002079 GA Primary

Addresses

Primary practice location

35 Atlanta St
Suite 3a
McDonough, GA 30253-2162

Mailing address

65 College St
McDonough, GA 30253-3351

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140424000173 GA Practitioner - Physical Therapist in Private Practice 3779716915 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emory Physical Therapy, LLCGroup PAC ID 1153382676, 96 clinicians

Practice addresses (Care Compare)

7813 Spivey Station Blvd
Suite 230
Jonesboro, GA 30236-2900
Phone (404) 251-2458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Physical Therapy, LLC CurrentSince Aug 13, 2018 Accepting new patients
Emory Physical Therapy, LLC CurrentSince Aug 13, 2018 Accepting new patients
Spine & Orthopedic Center CurrentSince Mar 10, 2015 Accepting new patients
Emory Physical Therapy, LLC Current Accepting new patients
Matrix Rehabilitation-Georgia Inc Past Accepting new patients

Locations

1845 Satellite Blvd
Ste 600
Duluth, GA 30097
Phone (404) 778-6490

1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490

7813 Spivey Station Blvd
Ste 230
Jonesboro, GA 30236
Phone (404) 251-2458

1287 Spur 138
Ste 8
Jonesboro, GA 30236
Phone (770) 473-0038

Organizations & group practices 5

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588694244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 COLLEGE ST",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 ATLANTA ST",
            "address_2": "SUITE 3A",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302532162",
            "telephone_number": "770-954-9631",
            "fax_number": "770-914-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAILES",
        "first_name": "THOMAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT002079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.