Active NPI
Gina Misitano Thurman, OTR/L
- Occupational Therapist
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT003903
- Practice address
- 1205 Johnson Ferry Rd
Ste 130
Marietta, GA 30068-5418 - Phone
- (770) 565-3201
- Fax
- (770) 565-3203
- NPI assigned
- Oct 24, 2006
- Last updated
- Jul 7, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT12415 | FL | |
| Occupational Therapist | 225X00000X | OT003903 | GA | Primary |
Addresses
Primary practice location
1205 Johnson Ferry Rd
Ste 130
Marietta, GA 30068-5418
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT0039036 | Other | GA | OCCUPATIONAL THERAPIST |
Other names 1
- Ms. Gina Marie Misitano
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Medical College of Georgia School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1163 Johnson Ferry Rd
Suite 200
Marietta, GA 30068-2764
Phone (404) 355-0743
2001 Peachtree Rd NE
Suite 705
Atlanta, GA 30309-1476
Phone (404) 355-0743
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.9 of 100
- Promoting interoperability
- 94
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT12415 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Independent Physical Therapy of Georgia, LLC | Occupational Therapist | Current | Accepting new patients |
| Peachtree Orthopaedic Clinic | Current | Accepting new patients | |
| Benchmark Physical Therapy, Inc | Occupational Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Current | Accepting new patients | |
| Independent Physical Therapy of Georgia, LLC | Occupational Therapist | Current | Accepting new patients |
| Peachtree Orthopaedic Clinic PA | Occupational Therapist | Current | Accepting new patients |
| Physiocare Inc | Past | Accepting new patients | |
| Ability Pro Therapy, LLC | Occupational Therapist | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
2001 Peachtree Rd NE
Ste 705
Atlanta, GA 30309
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
1205 Johnson Ferry Rd
Ste 130
Marietta, GA 30068
Phone (770) 565-3201
11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (866) 518-0283
8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8930
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1811912611
Occupational Therapist
-
- Physical Therapy Clinic/Center
- Duluth, GA
- NPI 1083666903
-
dba BenchMark Physical Therapy
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
Occupational Therapist
-
- Physical Therapist
- Fayetteville, GA
- NPI 1669703674
Occupational Therapist
-
dba Benchmark PT
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1770837445
-
- Durable Medical Equipment & Medical Supplies
- Alpharetta, GA
- NPI 1588802474
-
- Physical Therapy Clinic/Center
- Jupiter, FL
- NPI 1396753026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436227200000",
"number": "1760566004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-954-7408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 JOHNSON FERRY RD",
"address_2": "STE 130",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300685418",
"telephone_number": "770-565-3201",
"fax_number": "770-565-3203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THURMAN",
"first_name": "GINA",
"middle_name": "MISITANO",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2015-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT12415",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT003903",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPIST",
"identifier": "OT0039036",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GINA",
"last_name": "MISITANO",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.