Gabrielle McCord, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT013104 Issued in GA

Practice address

40 Professional Dr
Jefferson, GA 30549-6333

Phone

(706) 367-1142

NPI assigned

Jun 22, 2017

Sex

Female

Sole proprietor

No

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.

• A New Beginning Health Service

  • Physical Therapy Clinic/Center
  • Douglasville, GA
  • NPI 1700257656
  NPD (past)
• Tailored Occupational Therapy LLC

  • Specialist
  • Lithia Springs, GA
  • NPI 1265500243
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 3, 2020.

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1881114692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 EPPS BRIDGE RD UNIT 12H",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306068389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PROFESSIONAL DR",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305496333",
            "telephone_number": "706-367-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORD",
        "first_name": "GABRIELLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT013104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Cody Malone, PT, DPT
• Sarah Masenthin
• Amy Mason
• Jaclyn Renee Mason, COTAL
• Amanda McCloskey, PT
• Charles Andrew McElveen, FNP-C
• Erin McGrath
• Elizabeth Rebecca Lynn McLeish, FNP-C
• Annette Raquel McMichael, CSFA
• Medlink Georgia Inc

• All providers in Jefferson, GA
• Pediatric Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.