Individual provider Active NPI

Erin Gish, PT, DPT

  • Pediatric Physical Therapist
  • Norcross, GA
National Provider Identifier
1912567959
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT014058 Issued in GA
Practice address
3985 Steve Reynolds Blvd BLDG G
Norcross, GA 30093-3001
Phone
(770) 622-2532
NPI assigned
Jun 20, 2019
Last updated
Jun 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT014058 GA Primary

Addresses

Primary practice location

3985 Steve Reynolds Blvd BLDG G
Norcross, GA 30093-3001

Mailing address

3985 Steve Reynolds Blvd BLDG G
Norcross, GA 30093-3001
Phone (770) 622-2532

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT014058GAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta International PT, Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560988800000",
    "number": "1912567959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3985 STEVE REYNOLDS BLVD BLDG G",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933001",
            "telephone_number": "770-622-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 STEVE REYNOLDS BLVD BLDG G",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933001",
            "telephone_number": "770-622-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GISH",
        "first_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT014058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.