Georgia Sports Therapy and Rehabilitation
NPI 1912188962ActiveOrganization· Physical Therapist· Dacula, GA
Physical Therapist in Dacula, Georgia, registered in NPPES in November 2007. The authorized official on file is Christopher James Mallare, M.S., P.T., Clinical Director.
Overview
| NPI | 1912188962 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 19, 2007 |
| Last updated in NPPES | Nov 19, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 4122 | GA |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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