Southwest Georgia Rehab, Inc
NPI 1902120587ActiveOrganization· Physical Therapist· Cordele, GA
Physical Therapist in Cordele, Georgia, registered in NPPES in March 2010. The authorized official on file is Stacey A. Hathcock, DPT, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902120587 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 25, 2010 |
| Last updated in NPPES | Jan 12, 2026 |
| Certified by provider | Jan 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 005830 | GA |
| Occupational Therapist | 225X00000X | — | GA |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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