MR. GREGORY THOMAS SCANLAN (NPI# 1679819197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679819197 |
| Entity Type | Individual |
| Full Name | MR. GREGORY THOMAS SCANLAN |
| Credential | PT |
| Practice Address |
818 Church St Ne Marietta GA 30060-8969 |
| Mailing Address |
805 Sandy Plains Rd Marietta GA 30066-6340 |
| Practice Telephone | 7707925284 |
| Practice Fax Number | 7707921513 |
| Mailing Telephone | 7707925284 |
| Mailing Fax Number | 7707921513 |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
003874 | GA | Ambulatory Health Care Facilities |
| Street Address |
818 CHURCH ST NE |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-8969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326038472 | Harry T Harvin | Obstetrics & Gynecology | 818 Church St Ne, Marietta, GA 30060-8969 | 2005-10-28 |
| 1760728299 | Holly Goldin | Physical Therapist | 818 Church St Ne, Marietta, GA 30060-8969 | 2013-01-03 |
| 1295071272 | Meredith Brunson | Occupational Therapist | 818 Church St Ne, Marietta, GA 30060-8969 | 2012-12-20 |
| 1093051070 | Katherine Gavin | Physical Therapist | 818 Church St Ne, Marietta, GA 30060-8969 | 2012-12-20 |
| 1184960163 | Amy Barfield | Occupational Therapist | 818 Church St Ne, Marietta, GA 30060-8969 | 2012-12-20 |
| 1841536091 | Elizabeth Parker | Occupational Therapist | 818 Church St Ne, Marietta, GA 30060-8969 | 2012-12-17 |
| 1023354354 | Christopher Howren | Physical Therapist | 818 Church St Ne, Marietta, GA 30060-8969 | 2012-12-13 |
| 1275879595 | Wellstar Healthcare System | Clinic/Center | 818 Church St Ne, Marietta, GA 30060-8969 | 2012-12-13 |
| 1447535521 | Caroline B Fabian | Physical Therapist | 818 Church St Ne, Marietta, Marietta, GA 30060-8969 | 2011-10-20 |
| 1174539571 | Nancy Earle Sherrington | Physical Therapist | 818 Church St Ne, Marietta, GA 30060-8969 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285253658 | Intelli-therapists LLC | Clinic/Center | 3486 Sheridan Chase Se, Marietta, GA 30067-4336 | 2020-04-15 |
| 1437545324 | Neurosport Physical Therapy | Clinic/Center | 1163 Johnson Ferry Rd Ste 100, Marietta, GA 30068-2764 | 2015-04-08 |
| 1548699127 | Esop Rehabilitation LLC | Clinic/Center | 1100 Johnson Ferry Road, Suite 425, Marietta, GA 30068-2794 | 2013-11-05 |
| 1235406026 | East Cobb Therapy Solutions, LLC | Clinic/Center | 2826 Baccurate Dr, Marietta, GA 30062-8711 | 2011-11-21 |
| 1528223336 | Concentra Health Services, Inc. | Clinic/Center | 220 N Cobb Pkwy, Suite 400, Marietta, GA 30062-3579 | 2008-07-21 |
| 1265539381 | Perimeter Rehabilitation Center, Inc. | Clinic/Center | 310 Kings Ct Ne, Marietta, GA 30067-3622 | 2006-09-20 |
| 1306855838 | Occupational Health Centers of Georgia PC | Clinic/Center | 220 N. Cobb Parkway, Ste. 400, Marietta, GA 30062 | 2006-08-05 |
| 1538164553 | Gp Therapy LLC | Clinic/Center | 1100 Johnson Ferry Rd, Suite 425, Marietta, GA 30068-2794 | 2005-06-16 |
| 1376159020 | Pep Physical Therapy, LLC | Clinic/Center | 401 Hickory Walk Sw, Marietta, GA 30064-3040 | 2020-09-18 |
| 1720600802 | Integral Physical Therapy LLC | Clinic/Center | 1515 Johnson Ferry Rd, Marietta, GA 30062-6492 | 2020-05-12 |
| Find all providers in MARIETTA | ||||
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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.