DR. GRAYSON GENTZEL (NPI# 1477557155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477557155 |
| Entity Type | Individual |
| Full Name | DR. GRAYSON GENTZEL |
| Credential | PT, D.P.T. |
| Practice Address |
2078 Teron Trce Suite 250 Dacula GA 30019-1604 |
| Practice Telephone | 4049939082 |
| Practice Fax Number | 8665715808 |
| Mailing Telephone | 4049939082 |
| Mailing Fax Number | 8665715808 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2010-12-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
PT004112 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2078 TERON TRCE SUITE 250 |
| City | DACULA |
| State | GA |
| Zip Code | 30019-1604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134467103 | North Ga Home Care | In Home Supportive Care | 2078 Teron Trce, Suite 250, Dacula, GA 30019-1604 | 2013-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228171 | Mackenson Lafortune | Physical Therapy Assistant | 1424 Filigree Pl, Dacula, GA 30019 | 2019-10-29 |
| 1780167452 | Adenike Alaga | Registered Nurse | 3196 Dolostone Way, Dacula, GA 30019 | 2018-09-10 |
| 1780160580 | Cielitha Ruffin | Nurse Practitioner | 1223 Bentley Estates Dr., Dacula, GA 30019 | 2018-07-15 |
| 1386135663 | Anke Mbapeh | Nurse Practitioner | 2100 Browning Bend Ct, Dacula, GA 30019 | 2018-05-23 |
| 1053820282 | Ethan Zachariah Merrow | Student in an Organized Health Care Education/Training Program | 1701 Mulberry Lake Drive, Dacula, GA 30019 | 2017-09-20 |
| 1043737547 | Dawn Hedley | Dietitian, Registered | 3567 Vern Way, Dacula, GA 30019 | 2017-08-25 |
| 1831545367 | Angela Owusu-edusei | Nurse Practitioner | 3226 Dolostone Way, Dacula, GA 30019 | 2016-05-13 |
| 1528458718 | Philomena Gyamfi | Registered Nurse | 1088 Milford Ln, Dacula, GA 30019 | 2015-01-27 |
| 1417375247 | Casey Goldman Sommerfeld | Pediatrics | 2240 Hamilton Creek Pkwy Ste 600, Dacula, GA 30019 | 2014-03-29 |
| 1417398215 | Samia Tahil | Home Health | 2821 Spence Ct, Dacula, GA 30019 | 2013-07-10 |
| Find all providers in zip 30019 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558583773 | Seetal J Deluca | Physical Therapist | 3581 Braselton Hwy, Dacula, GA 30019-1027 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952509 | Stephanie Miller | Physical Therapist | 313 Furys Ferry Rd, Martinez, GA 30907-3001 | 2020-11-05 |
| 1861965204 | Tamphamani Chiragkumar Patel | Physical Therapist | 1235 Briers Creek Dr, Alpharetta, GA 30004-7116 | 2019-01-08 |
| 1356818652 | Excelarate Physical Therapy | Physical Therapist | 216 Harrison Ln, Brunswick, GA 31520-1959 | 2018-10-25 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316482755 | Corinthias Burnett | Physical Therapist | 7090 Arbor Pkwy Apt 1427, Douglasville, GA 30135-1583 | 2016-12-20 |
| 1124407929 | Jennifer Anne Upham X | Physical Therapist | 4216 Bridlecreek Dr Nw, Acworth, GA 30101-3872 | 2015-05-26 |
| 1801138540 | Terri Coley | Physical Therapist | 5357 Mccaghren Dr, Columbus, GA 31909-4184 | 2013-03-20 |
| 1578809174 | Marjorie Pomeroy Baker | Physical Therapist | 223 S Crawford St, Thomasville, GA 31792-5504 | 2012-12-31 |
| 1730377169 | Penny Wright | Physical Therapist | 1981 Sandcreek Dr Sw, Atlanta, GA 30331-8404 | 2007-10-10 |
| 1013132869 | Edward Davis Ryan | Physical Therapist | 1626 Hastings Ct, Gainesville, GA 30504-2629 | 2007-04-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.