JEROME GAITHER II PT,DPT,MSSM
NPI 1073354411
Physical Therapist - Orthopedic in Marietta, GA

Active since May 31, 2024Accepts Medicare Assignment
2900 DELK RD SE, MARIETTA, GA 30067(470) 632-1021 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jerome Gaither Ii Pt,dpt,mssm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEROME GAITHER II PT,DPT,MSSM (NPI 1073354411) is an individual orthopedic provider in Marietta, Georgia, licensed in Georgia (PT017114) and active in the NPI registry since May 2024. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1073354411
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameJEROME GAITHER IICredential: PT,DPT,MSSM
Location Address2900 DELK RD SEMarietta, GA 30067-5320
Mailing Address176 Oak Ridge TrlFayetteville, GA 30214-3156 · (678) 778-8212
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 31, 2024
NPPES CertifiedMay 31, 2024
NPI 1073354411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License Licensed in GA · PT017114
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

2900 DELK RD SE, Marietta, GA 30067

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jerome Gaither Ii Pt,dpt,mssm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517456239
PECOS Enrollment IDI20251031000974

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
2900 DELK RD SE, SUITE 1450
MARIETTA, GA 30067
Dentist
2900 DELK RD SE, SUITE 1450
MARIETTA, GA 30067
Pharmacist
2900 DELK RD SE, SUITE 1150
MARIETTA, GA 30067
Pharmacist
2900 DELK RD SE
MARIETTA, GA 30067
Specialist
2900 DELK RD SE, #268 - SUITE 700
MARIETTA, GA 30067
Registered Nurse (Registered Nurse First Assistant)
2900 DELK RD SE, SUITE 700 #166
MARIETTA, GA 30067
Physical Therapist
2900 DELK RD SE
MARIETTA, GA 30067
Registered Nurse (Registered Nurse First Assistant)
2900 DELK RD SE, SUITE 700 RM 166
MARIETTA, GA 30067

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073354411, enumerated as an "individual" on May 31, 2024.

The provider is located at 2900 DELK RD SE MARIETTA, GA 30067 and the phone number is (470) 632-1021.

Physical Therapist with taxonomy code 2251X0800X and a focus in Orthopedic.