Organization Active NPI

Gaudio Inc

Doing business as Cherokee Physiotherapy

  • Physical Therapy Clinic/Center
  • Woodstock, GA
National Provider Identifier
1841414968
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
GAUDIO INC
Doing business as
Cherokee Physiotherapy
Practice address
7914 Highway 92
Ste 100
Woodstock, GA 30189
Phone
(770) 924-3498
Fax
(770) 924-3692
NPI assigned
Apr 12, 2007
Last updated
Jun 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Maria B Gaudio, PT, CMDTNPI 1851574966
Title
Owner
Phone
(770) 924-3498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

7914 Highway 92
Ste 100
Woodstock, GA 30189

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00844951AMedicaidGA

Other names 1

  • Cherokee Physiotherapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111011000176 GA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789856097 Receives reassigned benefits from 1 practitioner
Practice locations: Woodstock, GA

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.

Locations

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

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1841414968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7914 HIGHWAY 92",
            "address_2": "STE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30189",
            "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": "STE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "30189",
            "telephone_number": "770-924-3498",
            "fax_number": "770-924-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAUDIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2011-06-09",
        "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_credential": "PT, CMDT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00844951A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherokee Physiotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.